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

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