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Cataract Coach™

Cataract Coach™

Professor Uday Devgan MD, renowned Los Angeles cataract surgeon, teaches the Best Techniques for Cataract Surgery. All Content © 2018-2023 Uday Devgan Cataract Coach™

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Category: guest surgeons

1734: the 7L rule saves the day

The 7L rule has been passed down from one generation of ophthalmologists to the next for many decades. It is … More

upside down IOL

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

MSICS

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

dense white cataract

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

sutured IOL, weak zonular support

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

glaucoma, istent, MIGS

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

anterior vitrectomy, capsule rupture, coloboma

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

coloboma, weak zonular support

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

marfan, weak zonular support

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

glaucoma, phacomorphic

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

podcast

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

iris prolapse, pars plana

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

fibrotic capsule

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

CTR, pseudo-exfoliation, weak zonular support

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

run-out capsulorhexis

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

iatrogenic, iris damage, iris prolapse

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

horizontal chop, no vacuum

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

corneal scar, glaucoma, trabeculectomy

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

cataract quiz, gore-tex, sutured IOL

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

dislocated IOL, posterior capsulorhexis, sulcus IOL

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

combined cataract and vitrectomy, pars plana, vitrectomy

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

CTR, weak zonular support

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

iris damage, sutured IOL, weak zonular support

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

endothelial, phakic IOL

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

MSICS, small pupil cataract surgery

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

phakic IOL

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

patient experience

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

femto laser, femtosecond laser

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

small pupil cataract surgery

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

pupil ring, small pupil cataract surgery

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

scleral fixated IOL, yamane

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

intumescent, white cataracts

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

challenging cataract, glaucoma, synechiae

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

glaucoma, istent, MIGS

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

capsule scarring, fibrotic capsule

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

iol exchange, trifocal

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

small pupil cataract surgery, weak zonular support

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

consulting, key opinion leader

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

coloboma, micro-cornea

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

capsular tension ring, dense white cataract, pseudo-exfoliation

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

scleral fixated IOL, yamane

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

capsular tension ring, CTR

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

dense cataract, foot pedal

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

sutured IOL

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

retained lens fragment

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

cataract surgery

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

IOL scaffold

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

combined cataract and vitrectomy, pars plana

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

posterior polar cataract

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

anterior vitrectomy, posterior polar cataract

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

iris hooks, pseudo-exfoliation

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