3059: pars plana glaucoma seton placement

3059: pars plana glaucoma seton placement In a complex eye with Fuchs’ endothelial dystrophy, placing a glaucoma seton via a … More

3056: four capsule hooks provide stability

3056: four capsule hooks provide stability Managing severe zonulopathy or overt phacodonesis requires temporary structural support during nuclear disassembly, and … More

3055: glaucoma seton with stent suture

3055: glaucoma seton with stent suture Managing early post-operative hypotony is a primary challenge when placing non-valved glaucoma drainage devices, … More

3042: progress after 5500 cataract cases

3042: progress after 5500 cataract cases Refining surgical technique is a lifelong journey, and evaluating this 5,500th case highlights the … More

3034: efficient MSICS Surgical Technique

3034: efficient MSICS Surgical Technique Manual Shelved Incision Cataract Surgery (MSICS) is a nomenclature far more accurate than Manual Small … More

3028: dense asteroid hyalosis

3028: dense asteroid hyalosis Encountering extremely dense asteroid hyalosis during cataract surgery raises an important clinical question: should we perform … More

3020: early surgery for anterior lenticonus

3020: early surgery for anterior lenticonus Anterior lenticonus, a classic manifestation often associated with Alport syndrome, presents distinct surgical challenges … More

3018: bilateral anterior segment dysgenesis

3018: bilateral anterior segment dysgenesis Navigating cataract surgery in the setting of bilateral anterior segment dysgenesis presents a true 10/10 … More

3010: How will you fix this case of traumatic zonulopathy?

3010: How will you fix this case of traumatic zonulopathy? Severe ocular trauma with more than 180 degrees of zonular … More

3006: I am not as bold or brazen as this surgeon

3006: I am not as bold or brazen as this surgeon Performing complete cataract surgery through a 2 mm pupil … More

3005: Retrieving a broken chopper tip IOFB

3005: Retrieving a broken chopper tip IOFB A structural failure of a surgical instrument inside the eye during phacoemulsification is … More

2998: sulcus IOL damages ciliary processes

2998: sulcus IOL damages ciliary processes This compelling case highlights a major hidden risk of secondary lens placement: a malpositioned … More

2996: phacolytic glaucoma after ruptured globe

2996: phacolytic glaucoma after ruptured globe In this highly challenging case, our guest surgeon, Professor Ramesh Ayyala from USF Tampa, … More

2992: Excellent Stop-and-Chop Technique

2992: Excellent Stop-and-Chop Technique If you are a resident in training and have already completed about forty cases using the … More

2991: cataract surgery in keratoglobus (Ehlers Danlos Syndrome)

2991: cataract surgery in keratoglobus (Ehlers Danlos Syndrome) In this extraordinary case, our guest surgeon tackles cataract surgery in a … More

2985: Pocketless 5F scleral IOL fixation

2985: Pocketless 5F scleral IOL fixation Our guest surgeon, Dr Soosan Jacob from India, demonstrates a pocketless Five F scleral … More

2982: next time just do an anesthetic block!

2982: next time just do an anesthetic block! This video highlights a patient who had an insufficient degree of sedation … More

2978: Flush and Crush Phaco Technique

2978: Flush and Crush Phaco Technique Our guest surgeon demonstrates the “flush and crush” technique, which serves as a highly … More

2972: after GATT why the vitreous prolapse?

2972: after GATT why the vitreous prolapse? We have a true surgical mystery in this case, and we need the … More

2971: Canaloplasty, Trabeculotomy & Phaco

2971: Canaloplasty, Trabeculotomy & Phaco Combining phacoemulsification with ab-interno canaloplasty and trabeculotomy offers an elegant, blebless approach to simultaneously treating … More

2970: cataract in congenital glaucoma eye

2970: cataract in congenital glaucoma eye Cataract surgery in an eye with congenital glaucoma and multiple prior surgeries is a … More

2964: fixing a closed pupil from uveitis

2964: fixing a closed pupil from uveitis This case presents a severe case of pupillary occlusion (seclusio and occlusio pupillae) … More

2949 opaque cornea with a surprise inside

2949: Opaque cornea with a surprise inside Operating on an eye with an opaque cornea is challenging enough, but sometimes … More

2944: traumatic cataract with tough surprise

This complex traumatic cataract case begins with the challenge of posterior synechiae, which must be lysed to visualize the underlying … More

2941: succeeding with challenging K-Pro cases

The Boston K-Pro provides a revolutionary solution for patients suffering from repeated corneal graft failures or severe ocular surface disease. … More

2940: Zonulopathy with subluxed cataract

This video features a challenging case of global zonulopathy where the lens stability is severely compromised. When zonular weakness is … More

2933: anterior segment reconstruction

This is a very difficult case of a patient with complete opacification of the cornea, a prior failed corneal transplant, … More

2928: flip nucleus to break fibrous plate

Managing a dense brunescent cataract requires a strategic shift in orientation when traditional chopping fails to penetrate the leathery posterior … More

2926: PDEK graft preparation technique

From our podcast yesterday, we explore the surgical pearls for preparing a Pre-Descemet’s Endothelial Keratoplasty (PDEK) graft using the refined … More

2924: surprise posterior capsule plaque

In this challenging case involving a dense brunescent nucleus, we are met with an unexpected hurdle after the lens material … More

2920: small pupil case with a surprise

99% of ophthalmologists (including me!) will not be able to figure out the surprise from this picture. If you want … More

2916: Off-center Pinhole Pupilloplasty

In this surgical case, Dr Amar Agarwal shares his brilliant, off-center, offset pinhole pupilloplasty technique for managing eyes with complex … More

2909: phaco IOL after a corneal alkali burn

Performing phacoemulsification in an eye with corneal scarring from a prior alkali burn presents a significant visualization challenge. The opacified … More

2907: failed trab & clearpath seton tube

You just finished your surgical training a couple of year ago and now a patient with a failed trabeculectomy is … More

2905: dissecting a lens fibrotic membrane

When dealing with a white cataract, a central fibrotic plaque can make a standard capsulorhexis nearly impossible. After staining the … More

2902: innovative “X-ray” filter gives details

Our guest surgeon in this video is Dr Durval Carvalho Jr from Brasilia, Brazil and he has a brilliant way … More

2900: missing CTR in nanophthalmic eye

Operating on a nanophthalmic eye with a 14 mm axial length is one of the most challenging scenarios in ophthalmic … More

2898: Mastering CAIRS for keratoconus

The Corneal Allogenic Intrastromal Ring Segments (CAIRS) technique represents a significant leap forward in the surgical management of keratoconus. Unlike … More

2886: extensive zonulopathy from trauma

This is a very challenging case where the patient sustained severe trauma. In this title picture you can see at … More

2884: complex glaucoma tube revision

Our guest surgeon on the CataractCoach Podcast yesterday (the top podcast in all of ophthalmology – IFYKY!) was Cleveland Clinic … More

2880: small anterior segment angle closure

Operating in an eye with a history of angle closure and a shallow anterior chamber presents a significant crowded environment. … More

2879: intra-capsular MSICS & scleral fixated IOL

In cases of severe phacodonesis, where zonular support is nearly non-existent, a standard extracapsular approach often risks complete lens dislocation. … More