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

2661: surprise zonular compromise

This is a great case showcasing the talents of a fantastic surgeon who notices zonulopathy during phaco of a dense … More

2657: Quiz: Why did this happen? Help us!

We need your help. With the collective minds and experience of thousands of ophthalmologists, I trust that we can solve … More

2653: soft cataracts versus hard cataracts

Yesterday, our CataractCoach Podcast featured Dr Pradip Mohanta who has a YouTube channel where he teaches ophthalmic surgery. During our … More

2650: Explanting a segmented ClearView 3

The Lenstec Clearview 3 multifocal intraocular lens (IOL) is designed to provide vision at multiple distances, often reducing the need … More

2649: Quiz: When did the capsule split?

Another fun CataractQuiz™ with a challenge to figure out when the capsule split open. Looking at the title picture, you … More

2648: Rosatelli Double Capsulorhexis

We love Dr Neto Rosatelli and his incredible surgical skill. An intumescent white cataract poses significant challenges during cataract surgery … More

2646: Quiz: Where did the capsule go?

Our guest surgeon Professor Ramesh Ayyala from University of South Florida in Tampa, USA shows us a very challenging case … More

2643: very young patient with white cataract

Performing cataract surgery on young patients with intumescent white cataracts presents a unique and formidable challenge for ophthalmic surgeons. Unlike … More

2641: pediatric lensectomy in an infant

Performing a lensectomy in this 5-month-old infant with congenital cataracts requires meticulous planning and execution, as both the surgical technique … More

2639: massaging intumescent cataracts

In cataract surgery, the Argentinian flag sign is a well-known complication that can occur during capsulorhexis in cases of intumescent … More

2636: mini-rhexis with phaco handpiece

This video showcases an advanced technique (not for beginners) to perform a capsulorhexis in eyes with white cataracts. The technique … More

2635: phaco and GATT for glaucoma

The first time I heard of the GATT (Gonioscopy-Assisted Transluminal Trabeculotomy) technique was about 10 years ago from the work … More

2632: AC infusion & needle decompression

We have featured many videos about how to safely perform a capsulorhexis for an intumescent white cataract. In this technique … More

2628: small pupil MSICS without rings or hooks

I am so fortunate to travel extensively around the world to lecture in many countries and in most places surgeons … More

2627: how to drain a choroidal effusion

While it is a relatively rare complication, there are times where the patient will develop a choroidal effusion. This is … More

2623: preparing your own DMEK graft

If you can order a DMEK graft from your cornea bank that is already the desired size, already stained with … More

2621: Quiz: When did the capsule break?

We all love the fun CataractQuiz™ cases and in this video we are also asking for a crowd-sourced answer to … More

2620: two very challenging cataract cases

Our guest surgeon is Professor Ramesh Ayyala and in this video he presents two tough cataract cases which were performed … More

2615: dense white cataract with femto laser

Our guest surgeon uses a femtosecond laser to help with cataract surgery on a dense white cataract. The question is … More

2611: DSAEK with a glaucoma tube

So you have a tough case coming up where you need to perform a DSAEK lamellar corneal transplantation but the … More

2604: lysis of synechiae with gonio view

Our CataractCoach Podcast guest yesterday was Dr Deborah Ristvedt and we learned how she brings a wide range of surgical … More

2601: Great skills at cataract case 700

Our guest surgeon does a great job with this routine cataract case which is about number 700 in the learning … More

2599: Quiz: What happened to this IOL?

This patient had a prior pars plana vitrectomy and then a three-piece IOL was implanted, but now, months later, the … More