98% of ophthalmologists will get this wrong and will miss the very subtle point in the video that shows the … More
Category: dislocated IOL
2811: dislocated IOL requires explant x3!
We receive about 60 video submissions per week (here is the link) and we can only feature about 10% of … More
2774: stopper knot technique to secure IOLs
The stopper-knot technique using expanded polytetrafluoroethylene (Gore-Tex) sutures offers a stable, high-integrity method for scleral fixation of a dislocated intraocular … More
2752: Quiz: Why is the IOL dropping?
Our anonymous surgeon thinks that the case is going beautifully but then with IOL insertion, the entire IOL starts dropping … More
2663: Quiz: How to fix this dislocated IOL?
In this CataractQuiz™ we have a patient who had cataract surgery elsewhere and now presents with a dislocated IOL and … More
2606: Quiz: Why is there a PCIOL in the AC?
Time for a CataractQuiz™: this patient had cataract surgery done elsewhere some time ago and is now being referred to … More
2605: combination PPV and IOL exchange
In this video, we have a tag team commentary with Prof. Pradeep Prasad, host of our sister channel RetinaRounds.com, and … More
2599: Quiz: What happened to this IOL?
This patient had a prior pars plana vitrectomy and then a three-piece IOL was implanted, but now, months later, the … More
2555: How will you recenter this IOL?
On yesterday’s CataractCoach Podcast we featured Dr Beeran Meghpara from Wills Eye Hospital in Philadelphia and we talked about very … More
2472: dislocated IOL and bag with PXF
This patient had cataract surgery done many years ago and everything was great until recently. The patient now presents to … More
2462: retrieving this dislocated IOL
Looking at this title picture you can see that the IOL is very dislocated which much of it well into … More
2453: kicked by a horse and IOL moves
When I was professor and chief of ophthalmology at a large UCLA teaching hospital, I saw a patient come to … More
2403: Quiz: What kind of IOL was here?
This patient developed severe capsular bag phimosis over the years and this has resulted in a dislocated IOL. Looking at … More
2376: calcified IOLs can be difficult to cut
There are some IOLs that can become opacified in certain circumstances. This is may be due to deposition of calcium … More
2314: extrusion cannula assisted levitation
This patient had complications during cataract surgery which resulted in a ruptured posterior capsule, retained lens fragments, and the IOL … More
2261: pseudo-phacodonesis & UGH syn
Yesterday’s CataractCoach Podcast featured Dr Chris Teng from Yale University where we talked about surgical scope, entrepreneurship, and complex anterior … More
2251: late dislocation of an iris clip ACIOL
The patient received and iris clip ACIOL many years ago and now presents to you with poor vision. When you … More
2250: Quiz: late dislocation of bag & IOL
Time for another Cataract Quiz: look carefully at the photo here and tell me why you think this capsular bag … More
2223: Quiz: Why did this IOL decenter?
Cataract Quiz: Wht did this IOL decenter? And how can you fix this without an IOL exchange? Look carefully! video … More
2200: How do you fix this dislocated IOL?
This patient was referred to you for a “slightly dislocated IOL” and this is what you see. There is a … More
2167: Hashtag suture to stabilize the IOL
This young patient has Marfan Syndrome and previously underwent pars plana vitrectomy and lensectomy for a dislocated crystalline lens with … More
2163: total ocular reconstruction
This is a very complex case in a monocular patient who presents to you with a dislocated IOL and capsular … More
2154: re-inserting the haptic for ISHF
Intra-scleral haptic fixation (ISHF) has become a popular way of dealing with the absence of capsular support ever since it … More
2136: secure the IOL, CTR, and bag complex
This patient has a history of prior cataract surgery with CTR placement and pseudo-exfoliation glaucoma. You can see an active … More
2130: Quiz: Why is the IOL iris captured?
Look carefully at this picture and ask yourself why did this happen? The patient had this IOL placed in the … More
2074: Quiz: How to fix this dislocated IOL?
This patient is sent to you with no prior history other than having cataract surgery a year ago and then … More
2068: rotisserie optic tilt with Yamane IOLs
The Yamane technique of IOL fixation to the sclera has become very popular in the last few years but increasingly … More
2066: belt loop with flanges in the cornea
We have seen many techniques of IOL fixation in cases of insufficient capsular support where the flange technique is used … More
2040: Ahmed segment secured with Gore-tex
This patient presents with a traumatic cataract with extensive zonular loss which means that simply placing an IOL within the … More
2038: relay technique SFIOL without flanges
Since the development of the Yamane technique, the idea of flange creation to secure an IOL to the sclera has … More
2037: modified double flange for SFIOLs
Our guest surgeon uses the flange technique with 6-0 polypropylene suture to secure the IOL to the sclera in this … More
2019: dislocated IOL, CTR, capsular bag
This patient had cataract surgery years ago and then progressive zonulopathy, such as from pseudo-exfoliation, caused the entire capsular bag … More
2018: dislocated IOL replaced with ACIOL
Looking at this title pic, you can see a large degree of capsular phimosis. This progressive constriction of the capsulorhexis … More
1981: Quiz: Why did this IOL decenter?
This patient had cataract surgery about a year ago and now presents to you with an IOL that is very … More
1974: knot & flange technique to fixate IOL
When I first performed a sutured IOL about 25 years ago, it was suturing a CZ70BD IOL to the sclera … More
1922: traumatic mydriasis & dislocated IOL
This patient had an intra-ocular foreign body which necessitated a pars plana vitrectomy along with lensectomy and IOL placement. Now … More
1906: decentered IOL & fibrosed capsule
This patient underwent cataract surgery a few years prior and now presents to you with a dislocated sulcus IOL and … More
1874: challenging rescue of a dislocated IOL
In this case, the IOL is falling back into the vitreous cavity and it is certainly entangled with the vitreous. … More
1860: Canabrava double flanged technique
I was recently at the BRASCRS cataract and refractive surgery meeting in Saõ Paulo, Brazil and I saw an amazing … More
1825: the problem with one haptic in the sulcus
This patient has femtosecond laser assisted cataract surgery with placement of a trifocal IOL two years ago. And while the … More
1775: the IOL is sitting on the macula
This patient suffered late dislocation of the IOL+capsular bag complex and it fell into the vitreous cavity and it now … More
1767: an amazing rescue of a tough case
Our guest surgeon, Dr Steve Safran has become an expert in complex re-operations and anterior segment reconstruction, with countless cases … More
1743: measure precisely for Yamane IOLs
Precisely measuring your scleral entry points is critical to center the IOL optic when you are performing Yamane intra-scleral haptic … More
1740: dead capsular bag syndrome
In rare cases, years after a cataract surgery, we can have complete loss of zonular support with dislocation of the … More
1696: dislocated IOL exchange technique
Our guest surgeon, Dr Brandon Ayres from Wills Eye Hospital, gets referred a high volume of complex anterior segment reconstruction … More
1613: Yamane-Kim intra-scleral fixation
Our guest surgeon does a beautiful job of performing the Yamane intra-scleral fixation technique and he takes it one step … More
1607: Z-suture technique to secure IOLs
There are so many innovative techniques in ophthalmology, that it is quite a challenge to learn all of them. This … More
1517: Star Technique for dislocated IOLs
Even after performing ocular surgery for 25 years, I still learn so much by making these CataractCoach videos and today … More
1511: explanting the bag + IOL + CTR
This patient has late dislocation of the entire capsular bag including the capsular tension ring (CTR) and the IOL. To … More
1475: ASCRS case 6: re-fixating the IOL
When you have dislocation of the IOL or the entire IOL+capsular bag complex, what are the options for re-fixation? This … More