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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 © 2018-2023 Uday Devgan Cataract Coach™

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Category: incisions

1792: Verisyse phakic IOL removal

Many years ago the only phakic IOL available in the USA for treatment of large degrees of myopia was a … More

phakic IOL, verisyse

1763: Curriculum Lesson 18: finish the case

This lesson focuses on finishing the case. Sounds easy, but it can be tricky. We need to remove the viscoelastic … More

curriculum

1750: paired incisions for astigmatism

Doing refractive cataract surgery is becoming the norm with patients desiring correction of refractive errors at the same time as … More

astigmatism, paired phaco incisions

1733: Can you do MSICS without a peritomy?

Today I have more questions than answers. I enjoy performing the MSICS technique and even in our Beverly Hills surgical … More

MSICS

1722: scleral tunnel for radial keratotomy

I have done cataract surgery for well over 1000 patients with prior radial keratotomy and on a recent surgical line-up, … More

radial keratotomy, scleral incision

1649: phaco wound burns

This video is critically important, especially for younger surgeons, because a phaco wound burn is a complication that happens more … More

phaco wound burn

1641: the keratome just cannot penetrate

This is a case from a resident surgeon who is learning cataract surgery. And the big initial challenge is making … More

corneal phaco incisions, keratomes

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

bad incision, resident cataract surgery

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

astigmatism, toric IOL

1589: optimzing the incision in RK eyes

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

cataract incision, radial keratotomy

1581: curriculum lesson 5: phaco incisions

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

curriculum, incisions

1564: on-axis incisions for toric IOLs

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

astigmatism, incisions, toric IOL

1507: the main incision rips – now what?

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

corneal phaco incisions, suturing

1498: Wong hydration pocket incision

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

cataract incision, corneal phaco incisions

1497: analyzing the incision with OCT

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

corneal phaco incisions, oct scan

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

warning: phaco wound burn!

This is among the most important cataract surgery videos that you will see in your lifetime. Really. I have taught … More

phaco wound burn

Incisional Techniques for Astigmatism

Cataract surgery can be our most powerful refractive surgery procedure, correcting high degrees of myopia, hyperopia, and even astigmatism (with … More

astigmatism

Corneal Phaco Incision Hydration

The technique of corneal stromal hydration to help seal a phaco incision is useful to ensure a watertight incision and … More

Cataract surgery & decentered LASIK flap

We frequently have patients with a history of prior LASIK who are now undergoing cataract surgery. We have explained in … More

cataract after lasik

scleral tunnel phaco incisions

Many years ago, incisions for cataract surgery were made in the sclera, even for the small phaco incisions. The scleral … More

scleral incision

Compilation video: Corneal Phaco Incisions

We are starting a new feature here on CataractCoach: the compilation video, where we combine the best of many prior … More

corneal phaco incisions

Make 2 Paracentesis Incisions

In the USA, most surgeons use coaxial I/A for cortex removal and as such, they tend to make a single … More

small pupil cataract surgery

Review: Sealing Phaco Incisions

A properly constructed phaco incision will allow good access to the anterior chamber for cataract surgery and then will seal … More

sealing incisions

Learn as I coach this resident

Many ophthalmologists from around the world have asked if we offer a fellowship, externship, or clinical rotation so that they … More

cataract surgery

Quiz: Why are there two main incisions?

Cataract Quiz: Why are there two phaco incisions in this eye? This is a routine cataract surgery and the case … More

#cataract surgery, cataract quiz

Review: The Angle of Approach for Incisions

The angle of approach of the keratome will determine the tunnel length of our phaco incision. If the angle is … More

#cataract, #cataract surgery

IOL cartridges – which one?

There are many different IOL injector systems from multiple different IOL manufacturers. It is the surgeon’s job to know the … More

#cataract surgery, iol cartridge

Review: Why LRIs should be done at the end

Limbal relaxing incisions (LRIs) are useful for treating mild to moderate degrees of corneal astigmatism at the time of cataract … More

Cataract Quiz: Where should you make the incision?

Our phaco incisions will induce an astigmatic change in the cornea and we can use that to help achieve a … More

Manual SICS with nucleus bisection

SICS is small incision cataract surgery, and it refers to a method of manual expression of the nucleus through a … More

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