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

2891: why temporary hyperopia happens in RK

Temporary post-op hyperopia after cataract surgery in Radial Keratotomy eyes Performing cataract surgery on a patient with a history of … 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

2772: nanophthalmic eye with astigmatism

This is a complete cataract case, shown start to finish, where I perform the entire surgery and present it to … More

2668: high hyperope with high astigmatism

Cataract surgery in highly hyperopic eyes with short axial lengths and significant corneal astigmatism is technically demanding. The shallower anterior … 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

2614: Nanophthalmic with angle closure

Tiny, nanophthalmic eyes are among the toughest cases for cataract surgery. With a very shallow anterior chamber, it is a … More

2465: approach to short axial lengths

I enjoy operating on very myopic eyes because there is so much room within the anterior segment of the eye. … More

2395: nanophthalmos malignant glaucoma

In this very challenging case, the patient has a nanophthalmic eye with a very short axial length, shallow anterior chamber, … More

2367: nanophthalmic eye challenges

We all love performing cataract surgery on average eyes because we know what to expect: an average IOL power, average … More

2297: hyperopia on the brain!

People like what they like, what they are used to, what just feels right. That applies for many things in … More

2095: irido-zonulo-hyaloido-vitrectomy

This patient has malignant glaucoma and to treat that the procedure is IZHV: irido-zonulo-hyaloido-vitrectomy. Here is what our guest surgeon … More

2067: challenges with ocular albinism

While ocular albinism is a rare condition, every cataract surgeon will encounter this condition over the course of a career, … More

2059: opaque posterior polar with shallow AC

Studies have shown that 1 out of 3 posterior polar cataract surgeries result in a ruptured posterior capsule. Here’s the … More

1862: nanophthalmic eye cataract surgery

Experienced cataract surgeons know that the most challenging cataract cases are often the nanophthalmic eyes. These tiny eyes have a … More

1776: refractive lens exchange for hyperopia

For patients over age 60 with significant degrees of hyperopia, a refractive lens exchange (RLE) tends to be the preferred … More

1748: tiny hyperopic eye & small pupil

Just watching this case is stressful. It is a very small eye with a 20 mm axial length, shallow anterior … More

1731: small eye, shallow AC, high hyperopia

As surgeons, we love it when we can make an incredible improvement in the lives of our patients. An added … More

1695: why I am doing stop and chop?

If phaco chop is so amazing, then why am I doing stop and chop in this case? Answer is in … More

1619: high power IOLs for radial keratotomy

Over the course of decades, we have found that radial keratotomy (RK) keeps flattening the cornea. Initially these previously myopic … More

1618: Why did I choose stop-and-chop?

For 22 years, I did a combination of both private practice as well as academics in which I taught the … More

1610: poly-pseudophakia 2 IOLs in 1 eye

Nanophthalmic eyes are among the most challenging when it comes to cataract surgery. There are additional risks and the working … More

1572: solving iris prolapse in a small eye

Our guest today is Dr Mohamed Sayed (formerly in Miami, now in Dubai), a master surgeon who has taught us … More

1549: cataract surgery in angle closure

Cataract surgery in the setting of angle closure glaucoma is very challenging because the anterior chamber is very shallow, the … More

1500: high hyperopia cataract surgery

This is a very small eye with an axial length of 20.4 mm and an anterior chamber depth of just … More

1388: small eye, small pupil, dense cataract

This is a very tough case: a small eye with a shallow anterior chamber, a small pupil with iris laxity, … More

1327: nanophthalmic eye with flat AC

Our guest surgeons today teamed up to help complete this cataract surgery in a nanophthalmic eye. The axial length is … More

1299: cataract surgery in nanophthalmos

This patient has a very small eye with an axial length of just 15 mm. That makes the entire surgery … More

1194: phaco use after IOL implanted

This is a tough case for a resident. A smaller pupil with a denser cataract and in an eye with … More

1136: Refractive Lens Exchange Surgery

For high degrees of hyperopia in presbyopic patients, the best surgical solution is refractive lens exchange. For a younger patient, … More

Severe Zonular Laxity in PXF Cataracts

This is a really difficult surgery and we know that ahead of time. When we examine this patient at the … More

refractive lens exchange for hyperopia

This 58 year old patient is highly hyperopic, wearing +8.5 D glasses for distance vision and then +11.0 D glasses … More

Review: Small Eye with high power IOL

Cataract surgery can provide an incredible refractive result, particularly for small eyes which are highly hyperopic. We can correct 10 … More

Complete Case: Cataract in a Small Eye

Looking at this picture, we can see that the corneal diameter is very small compared to the size of the … More

Review: IOL calcs in high hyperopia

Here is your challenge. You’re operating on a patient who is highly hyperopic (wearing +6.50 OD and +7.00 OS for … More

What can we learn from the first eye cataract surgery?

The patient had cataract surgery of the right eye two years ago. Initially, she had a plano outcome and great … More

Cataract surgery in Nanophthalmos

Nanophthalmic eyes are very small with a short axial length of less than 20 mm. This makes the cataract surgery … More

Solving a tough case of Hexagonal Keratotomy

Featuring guest surgeon: Arun Gulani MD from Jacksonville, Florida, USA This complex case involved a patient who underwent hexagonal keratotomy … More