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

2713: trabeculectomy with releasable sutures

On a recent CataractCoach Podcast (the top podcast in all of ophthalmology), I was surprised when an ophthalmologist from outside … More

2711: tPA for supra-choroidal hemorrhage

Suprachoroidal hemorrhage, often a devastating complication of intra-ocular surgery or trauma, can result in rapid vision loss and globe deformation … More

2709: YAG laser in milky white cataracts

In cases of intumescent white cataracts, particularly those with high intra-lenticular pressure, using a Nd:YAG laser to perform an anterior … More

2706: get rid of that loose, old bag!

In cataract surgery with severe global zonulopathy and marked phacodonesis, complete removal of the capsular bag may be necessary to … More

2703: lens milk leaks into vitreous cavity

In intumescent white or Morgagnian cataracts, the liquefied lens cortex, often referred to as milky lens fluid, can sometimes migrate … More

2702: sudden patient movement in surgery

Sudden patient head movement during cataract surgery poses a significant risk to intraocular structures and can lead to serious complications … More

2697: press and roll technique for DMEK

Our guest surgeon presents a technique of using an air bubble, which is rolled around the anterior chamber while the … More

2688: intra-lenticular foreign body

This patient sustained an open globe injury where a metallic foreign body pierced the cornea and the lens capsule and … More

2685: beautiful job for 600 cases

During your residency training performing about 150 to 200 cataract surgeries is typical in the USA, with some programs offering … More

2675: eye with migrating seton tube

You are not having déjà vu about watching a similar video — yesterday the case was fixing a fibrosed seton … More

2674: fixing a fibrosed valved seton tube

As you know, CataractCoach is your resource for everything cataract surgery but also the rest of anterior segment surgery including … More

2671: cataract after penetrating ocular injury

In a patient presenting for cataract surgery one year after a penetrating injury with a metal wire through the limbus, … More

2669: Quiz: What does this sign mean?

You are about to start doing phaco chop for this white cataract and you notice that the capsulorhexis is no … More

2664: easy approach to Hydrus glaucoma stent

I travel a lot to give lectures internationally at many ophthalmic meetings, averaging about 20 countries per year. When I … More

2662: iris bombé and acute glaucoma

In cases where iris bombé presents alongside acute angle-closure glaucoma and cataract, definitive surgical management must address all three components: … More