There are many ways of performing the steps of cataract surgery. We can do the capsulorhexis / capsulotomy with a … More
Category: instruments
1387: Zepto Precision Pulse Capsulotomy
The Zepto device uses a brief pulse of electricity to instantly create a precision capsulotomy in the anterior lens capsule. … More
1333: pre-chopper for nucleus division
The pre-chopper is an instrument with two blades which are shaped like paddles and they are embedded into the nucleus … More
1295: how to un-inject an IOL to explant
IOL exchange is an unusual procedure and it is safe to say that more than 99% of patients who receive … More
1256: you don’t need a pupil ring
If you are still a beginning surgeon or a resident surgeon, there may be a tendency to use pupil expansion … More
1247: Bent Needle Pre-Chopper
Our guest surgeon, Val Apostolov MD, has been featured on CataractCoach many times before. He is an innovative surgeon who … More
1246: BANG glaucoma technique
When I first met Arsham Sheybani MD at a meeting a few years ago, I could tell that I was … More
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
1153: is femto laser phaco better?
Despite more than a decade of use and hundreds of published papers, there is still some controversy as to the potential … More
1140: IOL punch for suture fixation
There are many different techniques for suture fixation of an IOL to the sclera: Yamane, Canabrava, Gore-Tex, belt loop, and … More
1009: Cutting a Fibrotic Lens Capsule
In some white cataracts, the lens capsule can become fibrotic as the lens cortex becomes absorbed and the capsule contracts. … More
Simplified Pre-Chop Technique
The pre-chop technique refers to mechanically breaking the nucleus into smaller pieces prior to inserting the phaco probe into the … More
clean your optics & focus the microscope
This is actually a very important lesson. Your microscope optics will determine your view for the surgery and that could … More
Phaco tip bevel down for chop
Many viewers of CataractCoach.com ask me why I prefer to have the phaco tip bevel down for cataract surgery. The … More
cannula for cortex aspiration
Bimanual irrigation/aspiration for cortex removal has an advantage: it is easy to switch hands and then access a full 360 … More
measure the capsulorhexis in high myopia
Eyes come in a spectrum of sizes, particularly with the measurements of the anterior segment in patients with extreme refractive … More
Safety with Cannula Use – be careful!
Beginning surgeons do not always realize that the force created by using small 27g cannulas can be quite high. If … More
Does cataract surgery pose a viral risk?
Our colleagues from the University of Toronto recently did an experiment to determine if cataract surgery poses a risk of … More
Review: Chopper protects the capsular bag
We work in a very tiny space of just a fraction of a milliliter: the volume of the anterior chamber … More
Fixate the eye with your other hand
The problem with using two hands to hold the capsulorhexis forceps is that you lose the ability to have the … More