1466: MSICS: temporal incisions

Incisions for phaco surgery are usually made either temporal or superior. For MSICS, we typically make the incision superior because … More

1343: operate on the steep axis if possible

Some beginning surgeons like to shift the phaco incision in order to maximize their “hand comfort” even if that means … More

Why did the surgeon in this video use a steel blade to make the main incision? The femtosecond laser can … More

Conjunctival chemosis can happen during cataract surgery if one of our incisions nicks the edge of the conjunctiva. This allows … More

This video includes slow motion video at half-speed and then at quarter-speed to review the single plane incision. The goal … More

We have covered the topic of phaco wound burn many times and we even had a very astute resident prevent … More

Remember that we are operating in a very tiny space of less than 1 milliliter of volume and that we … More

An anonymous resident emailed me with a thank you because a pearl that was learned here on CataractCoach prevented a … More

Taking pride in your work is critical for success. You need to put the effort to do a beautiful job … More

The incision is a very important part of the cataract surgery. It determines the access to the anterior segment and … More

When residents are learning cataract surgery, one of the struggles is getting the phaco incision right. The incision is critical … More

A phaco wound burn is a terrible complication that happens from the heat that is created by the friction of … More

Diamond keratomes make the best incisions for cataract surgery because they are incredibly sharp and make very clean cuts in … More

Using paired full-thickness incisions to treat corneal astigmatism is an established technique that has been used for many decades. We … More

When we make a corneal incision for cataract surgery, we must be careful to avoid damaging the attachment of Descemet’s … More

This is a resident case where the incision has terrible construction. The primary mistake is gliding the keratome along the … More

double phaco incisions for treatment of astigmatism

This is a tough case where the patient had prior 16-cut radial keratotomy for treatment of a high degree of … More

The phaco incision is a critical part of the cataract surgery. A great incision is the mark of an accomplished … More

This anonymous resident starts the case with a poorly placed and poorly constructed incision. It ends up bleeding, allowing blood … More