1599: leaky paracentesis causes issues

You may think that a paracentesis incision is trivial and has little effect on the case, but that is not … More

1592: off-axis incisions and toric IOLs

Your surgically induced astigmatism (SIA) from your standard phaco incision is probably far less predictable than you think. There are … More

The cornea in patients with prior radial keratotomy is very delicate and prone to a higher rate of complications during … More

The incision is a critically important part of your surgery. As one of the initial steps, it can determine the … More

In most cases, I like to make the phaco incision on the steep meridian of corneal astigmatism. If the patient … More

What would you do if the main phaco incision ripped during your procedure? This will certainly cause a fluidic imbalance … More

The Wong hydration pocket incision is an innovative way to help seal a corneal phaco incision. It involves creating a … More

Look carefully at your phaco incision to see if you are making the mistake of the chevron incision. The roof … More

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

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