The 7L rule has been passed down from one generation of ophthalmologists to the next for many decades. It is … More
Category: guest surgeons
1733: Can you do MSICS without a peritomy?
Today I have more questions than answers. I enjoy performing the MSICS technique and even in our Beverly Hills surgical … More
1732: this white cataract is quite dense
We have previously explained that not all white cataracts are the same and that there is an entire spectrum of … More
1730: belt loop to fixate Ahmed segment
This patient sustained ocular trauma which resulted in loss of zonular support for about 180 degrees, allowing tilt and decentration … More
1727: iStent prior to cataract surgery
The standard teaching is to perform cataract surgery first and then once the IOL is in the capsular bag and … More
1725: coloboma with capsule rupture
Yesterday we featured a case of cataract surgery in a patient with a coloboma. And today we have another similar … More
1724: coloboma with zonular absence
Today and tomorrow we are featuring cases with congenital colobomas where there is an absence of part of the iris … More
1718: Marfan syndrome subluxed lens
Marfan syndrome patients develop a progressive zonulopathy with subluxation of the crystalline lens which leads to visual decline. While still … More
1717: bilateral phacomorphic glaucoma
This is a very unusual case of bilateral phacomorphic glaucoma where the swollen cataract caused the narrow angles to occlude. … More
1714: PodCast #1: Robert H. Osher MD
Over the past 5 years and 1700+ videos, we have learned so much from each other by reviewing surgical videos … More
1713: pars plana tap for aqueous misdirection
The key to resolving iris prolapse is to release the pressure gradient and we have covered this topic many times … More
1712: fibrotic anterior capsule will not tear
This patient sustained ocular trauma which resulted in a white cataract as well as fibrosis of the anterior lens capsule. … More
1711: severe PXF and zonulopathy
This is a very challenging surgery and most surgeons would rate it a 9 or 10 out of 10 in … More
1709: save this run out capsulorhexis
This guest surgeon does a great job of managing this run out capsulorhexis. It extends all the way to the … More
1705: recovering from iatrogenic iris damage
This is a very tough case and the iris prolapse and damage is considerable. This is the type of case … More
1703: horizontal chop without vacuum
The traditional method of phaco chop uses vacuum holding power at the phaco tip to hold the nucleus while the … More
1698: phaco trabeculectomy with leukoma
This is a very tough case because the patient has a long-standing corneal scar, a cataract, and glaucoma that is … More
1697: what is this loose Gore-Tex suture?
Our guest surgeon, Dr Sara Bozorg, has sent us a very interesting case. This patient had some unknown procedure performed … 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
1689: phaco & pars plana vitrectomy
This patient has a rhegmatogenous retinal detachment as well as a visually significant cataract. Our guest surgeon is experienced with … More
1688: post-trab cataract with weak zonule
The most important take home message in this video is when you see the capsulorhexis moving you should immediately think … More
1686: dense cataract iris & zonular loss
This case is beyond 10 out of 10 in difficulty and our guest surgeon, Dr Steve Safran, is a true … More
1684: displaced phakic IOL & endo loss
This patient had bilateral phakic IOLs implanted about a year ago to address a high degree of myopia. Now the … More
1680: successful small pupil MSICS
Our guest surgeon has a lot of experience in performing MSICS, even in a tough case like this with a … More
1677: cataract surgery & phakic IOL removal
This patient had a phakic IOL placed many years ago for the treatment of a high degree of axial myopia. … More
1671: ‘verbal anesthesia’ works like magic
Many times patients are anxious and nervous about having cataract surgery. When you think about the description, “we enter the … More
1668: femtosecond laser fragmentation
We have covered the topic of femtosecond lasers in cataract surgery many times before. Most cataract surgeries performed in the … More
1667: case 2500 small pupil, no ring needed
Many surgeons will see this small pupil and immediate ask for a pupil expansion ring or iris hooks and that … More
1662: expansion ring for small pupils
Happy Thanksgiving to my USA followers – my favorite holiday of the year because we express our gratitude for the … More
1661: X-NIT simplifies Yamane IOL fixation
Our guest surgeon has developed a novel technique for simplifying the Yamane IOL scleral fixation procedure. Typically with the Yamane … More
1655: massaging the intumescent lens
The liquefied lens cortex in an intumescent white cataract creates increased pressure within the capsular bag and this can lead … More
1645: phacolytic glaucoma & synechiae
Our guest surgeon does a great job with a very difficult cataract surgery. The patient has phacolytic glaucoma where the … More
1642: demonstrating trabeculum bypass
In this video our guest surgeon implants the new iStent MIGS glaucoma device and shows us how he verifies proper … More
1640: anterior capsule plaque peeling
Our guest surgeon presents a case of a dense cataract where the cortical lens proteins broke down and caused a … More
1635: Would you do an IOL exchange?
Let’s say that you have a patient who already had cataract surgery more than a year ago. At that time … More
1632: sphincterotomy & bag handle
The two techniques shown in this video have not been previously featured on CataractCoach and since they are from the … More
1622: get involved with ophthalmic consulting
This video addresses one of the most common questions that I am asked: How do I get involved with ophthalmic … More
1615: micro-cornea and coloboma
This is a very unusual case where the patient has a micro-cornea and also a coloboma with associated zonular absence … More
1614: PXF, shallow AC, DWC, zonulopathy
This is a tough case with many challenges: pseudo-exfoliation syndrome, a shallow anterior chamber, a dense white cataract (with intumescence), … 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
1612: retrieval of a lost CTR
When implanting a capsular tension ring, particularly in a challenging case, there is always that tiny fear that it may … More
1611: dense cataract with foot pedal video
Surgeons who want to learn phaco chop sometimes have a challenge with the foot pedal control. When should energy be … 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
1604: return to the OR for retained lens
A retained lens fragment is a relatively common occurrence after modern day cataract surgery. We are able to use small … More
1601: cataract skills after 1600 cases
Yesterday was video number 1600 which means that we have featured a new video/post every day for the past 1600 … More
1587: IOL scaffold technique
The IOL scaffold technique is where the IOL is implanted prior to removal of the last bits of the cataract. … More
1586: bringing the dropped nucleus up
If the posterior capsule ruptures and the nucleus drops during cataract surgery, my advice to you is to let it … More
1585: posterior polar with strong capsule
Quite often, patients do not understand that there are tissue differences among the population. Even if we look at just … More
1584: posterior polar ruptured capsule
When I have lectured at large ophthalmic meetings, I would sometimes pause and ask the audience members to raise their … More
1583: pseudo-exfoliation with iris hooks
Our guest surgeon does a great job with this tough cataract case. The patient has an intumescent white cataract and … More