This patient is undergoing a combined cataract surgery with a pars plana vitrectomy. Two novice surgeons are operating: a senior … More
Category: dislocated IOL
Quiz: What is going on with this IOL haptic?
The surgery has gone very smoothly and the senior resident is doing a great job. The incisions are good, the … More
Quiz: Which eye do you fix first?
This patient needs surgery on both eyes. The right eye has a cataract which is limiting the vision to 20/80 … More
Options for IOL Explant: Twist or Cut
In rare cases, we may need to explant the IOL and replace it with a different IOL for a different … More
Posterior Capsule Break with a Toric IOL in the bag
The posterior capsule sustained a break during phaco which was near the capsular bag equator and not immediately noticeable to … More
The IOL is stuck in the incision! What should we do?
This valuable teaching video was submitted by an anonymous resident who is still in training. In this surgery, a smaller … More
Quiz: Why won’t this IOL stay centered?
This case seemed 100% normal. Reasonable dilation, good zonular support, 5-mm round capsulorhexis, phaco chop, and a normal capsular bag. … More
Old IOL explanted, then new IOL sutured to the Iris
This patient had a prior cataract surgery with a single-piece acrylic IOL precariously placed into a compromised capsular bag. This … More
Pars Plana Anterior Vitrectomy & IOL Retrieval
While most cases of vitreous prolapse during a complicated cataract surgery can be effectively address via limbal incisions, there are … More
Would you implant a CTR: Capsular Tension Ring?
This challenging cataract case has loose zonular architecture globally, not focally. There is no prior trauma and there is not … More
Twist Technique to Easily Explant the IOL
There are times when we need to explant an IOL from the eye. This can be at the time of … More
Technique to suture an IOL to the iris
Sometimes, the IOL can dislocate after surgery and in the case of a three-piece IOL, we can easily suture the … More
Traumatic Cataract: What is your surgical approach?
This 42 year old patient sustained an airbag injury to his face a few months ago. He noted cloudy vision … More
Using Purkinje Images for IOL Centration
Intra-ocular lens implants which are well-centered can provide better quality of vision for our cataract surgery patients. In the ideal … More
Pupil Size in Pseudo-Exfoliation Cataract Surgery
Pseudo-exfoliation (PXF) syndrome can make cataract surgery more challenging because of the concomitant issues that exist in these eyes. The … More
4 Cases of Surgical Iris Repair
From CataractCoach.com: This young man sustained a terrible trauma which resulted in severe ocular trauma. A shard of glass penetrated … More
3 Keys to doing 4-point Sceral-sutured IOLs
From CataractCoach.com: With video footage provided by Dr. Michael Patterson, we review the anterior segment approach to 4-point fixation of an IOL … More
Surgical Approach to the Dislocated IOL
(scroll down for full video of four-point fixation of an IOL to the sclera) Cataract surgery has an amazing success … More