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Cataract Coach

Cataract Coach

Professor Uday Devgan MD, renowned Los Angeles cataract surgeon, teaches the Best Techniques for Cataract Surgery. All Content © 2018-2022 Uday Devgan

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Category: incisions

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

incisions, MSICS

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

corneal phaco incisions

1332: another femto laser cataract surgery

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

femto laser, femtosecond laser

1330: resolving intra-op chemosis

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

chemosis

1313: review of the single plane incision

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

corneal phaco incisions, slow motion

1302: suturing a phaco wound burn

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

phaco wound burn, suturing

1261: Why is the AC so shallow in IA?

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

fluidics, resident cataract surgery, shallow AC

1253: preventing a phaco wound burn

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

phaco wound burn, resident cataract surgery

1237: leave your signature on every case

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

cataract surgery, complete cataract case, surgical signature

1225: a bad incision leads to iris damage

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

complications, corneal phaco incisions, iris damage

1217: finally a great phaco incision

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

incision, oct scan

1199: predicting a phaco wound burn

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

phaco wound burn

1184: diamond blades / keratomes

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

diamond blades, keratomes

1170: sealing of paired phaco incisions

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

astigmatism, paired phaco incisions

Descemet’s Membrane Detachment

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

cataract surgery, descemet detachment

Never make an incision like this!

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

cataract incision

Double Phaco Incisions to fix Astigmatism

double phaco incisions for treatment of astigmatism

astigmatism, cataract surgery

Complicated Radial Keratotomy Case

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

cataract surgery, radial keratotomy

Playlist: Phaco Incisions

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

incisions, playlist

Bad Incisions lead to trouble

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

bad incision

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