In this challenging case involving a dense brunescent nucleus, we are met with an unexpected hurdle after the lens material … More
Category: guest surgeons
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
2877: “Zombie” Double Tap to set IOP
On yesterday’s Cataract Coach Podcast (the top podcast in all of ophthalmology!) we learned some great surgical pearls from our … More
2852: subluxated cataract requires ICCE
There was a time many years ago (40+ years ago) where the standard procedure for cataract surgery was to perform … More
2851: AC whiteout from phacolytic glaucoma
Patients sometimes ask if cataract surgery is absolutely required right now and the answer for the vast majority of patients, … More
2849: lens coloboma with deformed capsule
Surgery for a congenital lens coloboma is challenging because the deformed capsular bag can lack focal, essential structural support. In … More
2842: tough cataract case with prior NVG
For this very tough cataract case, our guest surgeon is Dr Lucy Shen from the Mass Eye / Harvard in … More
2839: congenital cataract in 2 month old baby
Performing cataract surgery in a 2-month-old infant requires a specialized approach due to the high elasticity of the pediatric capsule … More
2825: illumination for opaque corneas
When a central corneal opacity obscures the surgical field, traditional coaxial microscope illumination often creates debilitating light scatter and glare, … More
2824: AC maintainer in cataract surgery
In routine cataract surgery, an anterior chamber maintainer (ACM) can be used to ensure globe stability and a deep operative … More
2823: Soemmering’s Ring Removal
A Soemmering’s ring is a postoperative finding characterized by a doughnut-shaped proliferation of residual lens epithelial cells and cortical fibers … More
2822: How to suture Cionni rings to sclera
To fixate a Cionni Modified Capsular Tension Ring, we must anchor the eyelet to the sclera, typically 1.5 to 2.0 … More
2821: severe trauma eye reconstruction
Management of high-grade traumatic iridodialysis requires meticulous surgical intervention to mitigate the functional morbidity such as debilitating photophobia. Our goal … More
2718: uveitis white cataract & synechiae
Performing cataract surgery in an eye with chronic uveitis presents a triple challenge: a fragile blood-aqueous barrier, dense posterior synechiae, … More
2816: amazing iris coloboma repair
I was really amazed by the technique in this video because the surgeon achieved a fantastic result by first trimming … More
2796: traumatic cataract with tough surprise
Happy New Year to the CataractCoach fans and family! Traumatic cataracts present a unique surgical challenge because the full extent … More
2793: solar eclipse sign indicates zonulopathy
One of the most subtle yet important intraoperative clues to zonular weakness is the presence of a crescent-shaped, abnormally bright … More
2789: Alondra knot vs Cupid needle for IOL
Today our two guest surgeons are presenting different ways of securing a loose IOL to the sclera using sutures. The … More
2788: surgical treatment of blebitis
Blebitis is an infection involving a prior filtering bleb and it is a serious, sight-threatening complication demanding immediate, aggressive management … More
2786: from the smallest to the biggest
Yesterday on the CataractCoach Podcast (the top podcast in all of ophthalmology!) we featured Dr Rafael Vazquez Rojas from Mexico … More
2781: sudden choroidal hemorrhage
Managing a sudden choroidal hemorrhage during this Boston K-Pro surgery requires immediate control of intraocular pressure and rapid stabilization before … More
2779: capsule split with posterior polar
When a posterior capsule split occurs during surgery for a posterior polar cataract, the priority is to preserve the anterior … More
2775: cortical pre-aspiration before phaco
Cortical pre-aspiration prior to phacoemulsification is a useful strategy for reducing lens mobility and improving surgical control before nucleus removal. … More
2774: stopper knot technique to secure IOLs
The stopper-knot technique using expanded polytetrafluoroethylene (Gore-Tex) sutures offers a stable, high-integrity method for scleral fixation of a dislocated intraocular … More
2773: global zonular laxity and weakness
Our guest surgeon, Dr Sergio Kwitko from Brazil, is superbly talented at complex anterior segment surgery and he presented this … More
2768: Hoffman Pocket Technique Sutured IOLs
The Hoffman pocket technique offers a valuable approach for securing scleral-sutured intraocular lenses in eyes with inadequate capsular support while … More
2767: removal of glaucoma seton footplate
This is a complex case where a patient with anirida and multiple other ocular issues underwent placement of a kerato-prosthesis … More
2761: operating on an eye with nystagmus
If you are an expert cataract surgery with thousands upon thousands of cases of experience, you may be tempted to … More
2760: standing Ahmed glaucoma valve
This patient has multiple systemic medical issues and cannot lie supine for ophthalmic surgery. In this case the patient needs … More
2748: should we do iris sphincterotomies?
Small pupils can significantly complicate cataract surgery by limiting visualization and access to the lens. When pharmacologic dilation is inadequate, … More
2746: fixing acute glaucoma at the slit lamp
Our guest surgeon Professor Ramesh Ayyala is a renowned expert surgeon for complex anterior segment cases and in this video … More
2739: severe anterior staphyloma
There are unusual cases which require incredible surgical skill such as this complex case of a young patient with Axenfeld-Rieger … More
2733: late Descemet membrane detachment
Late Descemet membrane detachment (DMD) after cataract surgery in eyes with prior Descemet Membrane Endothelial Keratoplasty (DMEK) is an uncommon … More
2732: cyclo cryo ablation to control IOP
Our guest surgeon and noted glaucoma expert, Professor Ramesh Ayyala, demonstrates the technique of cyclo cryo ablation to help control … More
2725: how to perform an evisceration
This video is tough to watch for an anterior segment surgeon. There are rare cases where we need to perform … More
2723: light pipe illumination to clean the bag
In cataract surgery, optimal visualization of the posterior capsule is crucial for safe and effective polishing. The light pipe, traditionally … More
2719: traumatic cataract with zonular loss
This is a very tough case because of the prior trauma which has resulted in severe zonular loss and a … More
2716: IOL scaffold technique in PC rupture
The IOL scaffold technique is an effective intraoperative strategy in managing posterior capsule rupture during cataract surgery. When the posterior … More
2714: great skill after 4500 cataract cases
Our guest surgeon has been working hard and in the first few years after training has already performed 4500 cataract … More