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Cataract Coach™

Cataract Coach™

Professor Uday Devgan MD, renowned Los Angeles cataract surgeon, teaches the Best Techniques for Cataract Surgery. All Content © 2018-2023 Uday Devgan Cataract Coach™

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Category: dislocated IOL

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

iris damage, suturing, traumatic cataract, upside down IOL

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

decentered IOL, sulcus IOL

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

dislocated IOL, sutured IOL, vitrectomy

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

IOL flange, sutured IOL

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

dislocated IOL

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

pars plana, sutured IOL, vitrectomy

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

complications, pars plana, vitrectomy, yamane

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

dislocated IOL, yamane

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

dislocated IOL, weak zonular support

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

dislocated IOL, posterior capsulorhexis, sulcus IOL

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

scleral fixated IOL, yamane

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

sutured IOL

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

dislocated IOL, sutured IOL

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

CTR, iol exchange

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

dislocated IOL, IOL flange

1468: great Yamane cases always do this

The Yamane technique of securing a three-piece IOL to the scleral wall is ingenious. It can work very well but … More

IOL flange, yamane

1421: belt loop technique to secure IOLs

Our guest surgeon, Dr Cathy McCabe from Florida, USA has an innovative way of securing IOLs to the sclera in … More

dislocated IOL, sutured IOL

1344: dislocated IOL and capsular bag

This patient presented to our teaching clinic with a history of blunt ocular trauma about six months prior. He stated … More

dislocated IOL

1260: avoid this mistake with IOL insertion

This video shows a very important lesson that all beginning surgeons must learn. A lack of pivoting in the incision … More

IOL, resident cataract surgery

1236: IOL exchange & Yamane technique

The Yamane technique for IOL fixation to the sclera is an innovative way to secure a three-piece IOL in the … More

iol exchange, yamane

1229: IOL exchange & Soemmering Ring

This patient had cataract surgery years prior with significant intra-operative complications. The posterior capsule was ruptured and a sulcus IOL … More

iol exchange, soemmering

1152: upside down IOL with bent haptic

You are performing cataract surgery on this patient and the case is going beautifully. You made a perfect 5 mm … More

rescue this case, upside down IOL

1107: IOL exchange of very unusual IOLs

Master surgeon Dr. Val Apostolov from Amsterdams shares with us some unusual cases. These are both IOL exchange surgeries for … More

iol exchange

1092: Traumatic Cataract Zonular Loss

Our guest surgeon Dr Vipul Arora from India presents a case of a traumatic cataract with sectoral zonular loss. This … More

CTR, traumatic cataract

1058: Quiz: Why did the IOL decenter?

Time for a Cataract Quiz and it features a case sent to us by Dr. Valentin Bachet from Lille, France. … More

cataract quiz, decentered IOL

1026: suturing the IOL to the iris

Our guest surgeon shows us his technique for suturing an IOL to the iris in a patient with long-standing peudo-exfoliation … More

sutured IOL

iris claw lens to address aphakia

Another excellent video from our colleague Dr. Val Apostolov from Amsterdam. In this case there is a patient with a … More

cataract surgery, iris claw lens

anterior segment total reconstruction

This is a very complex case of a patient who had cataract surgery elsewhere and sustained complications during the procedure. … More

anterior segment reconstruction

Fixing IOL-induced UGH Syndrome

UGH syndrome is the triad of uveitis, glaucoma, and hyphema which all can be induced as a complication from sulcus … More

UGH syndrome

Fixing a Dislocated IOL

This patient had cataract surgery done elsewhere and now seeks your help for a sub-optimal outcome in the one eye. … More

dislocated IOL

compilation video: IOL exchange

Every cataract surgeon needs to learn how to perform an IOL exchange because, although it is rare, we sometimes need … More

iol exchange

compilation video: suture-fixated IOLs

This video features all sorts of suture-fixation techniques for securing IOLs in cases where there is limited or no capsular … More

sutured IOL

Fixing severe capsular phimosis

In a small number of patients, capsular phimosis can happen after cataract surgery. This can lead to severe distortion of … More

cataract surgery

Intra-scleral Gore-Tex IOL fixation

This young patient sustained severe ocular trauma a few years ago and he had a surgical repair done in another … More

#cataract, #cataract surgery

Cataract Quiz: Why did this IOL decenter?

The patient underwent a combined cataract surgery with pars plana vitrectomy. The cataract surgery went well and even today, 1 … More

#cataract, #cataract surgery, cataract quiz, decentered IOL

Scleral-sutured IOL with GoreTex

This is an unusual case of prior trauma. A 13 year old boy was playing with fireworks and sustained a … More

#cataract

Mastering IOL Flange Techniques

In cases of insufficient zonular support, using a flange technique has become popular after Dr Shin Yamane shared his technique … More

Cataract Quiz: Optic-Iris Capture

Happy New Year! It’s Quiz Time: how do you approach this case with optic-iris capture and a dense fibrotic membrane? … More

Cataract Quiz: What is the problem here?

Time for another Cataract Quiz. Look carefully at the photo — the IOL has just been implanted and now it … More

The surgeon will struggle to finish. Why?

In this resident surgeon case, the anterior chamber flattens and there is loss of viscoelastic upon attempted manipulation of the … More

Cataract Quiz: What complication will happen next?

Cataract Quiz: look carefully at the IOL in the injector cartridge. Now it’s time to implant the IOL into the … More

Traumatic Cataract with Mydriasis: Part 1 cataract surgery

This patient suffered severe trauma as the result of an airbag injury from a car accident about one year ago. … More

Review: Understanding Purkinje Images

Intra-ocular lens implants which are well-centered can provide better quality of vision for our cataract surgery patients. In the ideal … More

Quiz: Why does this pupil look irregular?

This patient is undergoing a combined cataract surgery with a pars plana vitrectomy. Two novice surgeons are operating: a senior … More

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

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