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

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

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

Soft Posterior Polar Cataract Technique

This is a patient with a history of high hyperopia (+7.5 of hyperopia) and posterior polar cataracts since childhood. The … More

Flatten the Anterior Lens Capsule with Viscoelastic

Using a Viscoelastic (also called Ophthalmic Visco-surgical Device, or OVD) to flatten the anterior lens capsule is a critical step … More

Cataract Surgery in Small, Hyperopic Eyes

Small eyes make cataract surgery more difficult in many ways: there is less working room in the eye, the IOL … More