1127: keeping track of surgical timing

You are the master of your own domain. The master of your own career. The master of your own life. … More

1113: surgery center OR block time

Welcome to another Monday morning from my operating room (OR) at our Beverly Hills surgery center. We are discussing surgery … More

1054: complete case: why we chop

You know that I’m a big fan of the phaco chop technique for nucleus disassembly during cataract surgery because it … More

1048: Playlist: Phaco Efficiency

We have said it many times before, but it still bears repeating: the goal of the surgery is not speed, … More

1028: Keys to Cataract Surgery Efficiency

If you have performed fewer than 10,000 cataract surgeries, you are still in the part of the learning curve where … More

complete cataract case: optimize steps

Most of us will have the opportunity to perform thousands of cataract surgeries (often tens of thousands) during the course … More

complete case: chop nucleus in the bag

One of my favorite types of videos to watch is the Complete Cataract Case. I enjoy seeing a surgery from … More

complete cataract case: phaco flip

The key to the phaco flip technique is using the fluid wave from hydro-dissection to gently prolapse part of the … More

Critiquing my old cataract surgery video

I was digging through some old computer files and I came across an old video that I made in 2006. … More

Complete Case: vertical phaco chop

Another complete cataract case, this time showing the vertical chop technique to split the cataract into two halves. This is … More

Review: Optimizing Cycle Time Efficiency

Establishing a consistent routine in the operating room is the key for both increased efficiency as well as increased safety. … More

Complete Case: Efficient Phaco Chop

Another great video in our series of Complete Cataract Cases. You’ll be able to learn from the very first incision … More

Review: Optimizing Cycle Time Efficiency

Establishing a consistent routine in the operating room is the key for both increased efficiency as well as increased safety. … More

Setting Up for Cataract Surgery

Cataract surgery is team work and the surgeon is just one member of the team. We need a great team … More

Re-draping the eye makes surgery more efficient

When we place the drapes on the eye and eyelids, it serves to give us better exposure of the surgical … More

Review: Achieving the State of “Flow”

The psychological state of Flow is described as “energized focus, full involvement, and enjoyment” of the action being performed. Some call this … More

Review: Learn Horizontal Phaco Chop

The original phaco chop technique described by Dr. Nagahara in 1995 was the horizontal chop. This involves holding the lens … More

Simultaneous Hand Position and Microscope View

For young ophthalmologists, learning how to hold the instruments and position the hands during cataract surgery can be difficult to … More

How big can we make the capsulorhexis?

Just how big can we make the capsulorhexis? It is a balance: the larger the capsulorhexis, the easier it is … More

Guest Surgeon teaches us Cataract Surgery Efficiency

We can always learn from fellow surgeons, particularly from those who are truly experts in the field. I recently met … More

Achieving the State of Flow in Cataract Surgery

The psychological state of Flow is described as “energized focus, full involvement, and enjoyment” of the action being performed. Some … More

Optimizing Surgical Flow for Efficiency & Safety

Establishing a consistent routine in the operating room is the key for both increased efficiency as well as increased safety. … More

Flip and Chop Phaco is Ideal for Routine Cases

The flip and chop phaco technique has been presented here before on many occasions because it is such an efficient … More

Flip and Chop for Highly Efficient Cataract Surgery

Phaco flip is an efficient procedure since the initial hydro-dissection brings the nucleus out of the capsular bag. If we … More

Management of the Hemi-Nucleus in Cataract Surgery

Whether you do phaco chop or stop-and-chop, you will be left with two halves of the nucleus which then need … More

The Patient Refuses Refractive Correction!

This 75 year old patient needs cataract surgery because her best corrected vision is 20/50 and it is becoming increasingly … More

Efficient Cataract Surgery for Spastic Patient

Rushing during surgery, especially cataract surgery, is a bad decision. It can lead to complications which can cause a poor … More

Cataract Surgery in Fuchs’ Corneal Dystrophy

Fuchs’ endothelial dystrophy is a disorder in which the corneal endothelium becomes progressively weak, leading to corneal decompensation and decreased … More