This patient had an intra-ocular foreign body which necessitated a pars plana vitrectomy along with lensectomy and IOL placement. Now … More
Category: dislocated 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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 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
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
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