Pearls for Using Iris Hooks to Expand Small Pupils

Sometimes, the best approach to expanding a small pupil for cataract surgery is to use iris hooks. These are small, … More

Use the Chopper to Push Nuclear Pieces to the Probe

The chopper is used for many different functions during cataract surgery, beyond just chopping the nucleus into smaller fragments. Cataract … More

Exquisitely sharp blades are needed for eye surgery

The eye is like an under-inflated balloon: the low pressure inside allows it to absorb most jabs without being punctured. … More

Proper Form for using a Keratome Safely & Precisely

you must learn proper form for keratome use in cataract surgery

Use the Chopper to protect the capsular bag

We work in a very tiny space of just a fraction of a milliliter: the volume of the anterior chamber … More

use of an AC maintainer in Cataract Surgery

An anterior chamber maintainer is an additional infusion cannula which is inserted via the cornea or limbus in order to … More

Use of a Simcoe Cannula in Cataract Surgery

This video features guest surgeon Rob Melendez MD from New Mexico, USA. Dr. Melendez is a highly talented surgeon with … More

Measure the Capsulorhexis for best results

The capsulorhexis is important for successful cataract surgery because it gives the capsular opening strength during cataract removal and allows … More

Avoid Posterior Pressure from the Speculum

We need to place a lid speculum to get the best exposure for cataract surgery, but if we crank it … More

Adjusting the sleeve of the Phaco and I/A tip

For coaxial instruments like the phaco probe and the irrigation/aspiration probe, what is the best position for the silicone sleeve … More

How far into the eye do you insert the keratome?

When making your phaco incision, it is important to have the appropriate tunnel length as well as incision width. We … More

How to Split the Cataract if the Chop is incomplete

Sometimes when we perform phaco chop, the lens does not fully divide. The chop scores and partially splits the nucleus, … More

Horizontal Phaco Chop for Efficient Cataract Surgery

The original phaco chop technique described by Dr. Nagahara in 1995 was the horizontal chop. This involves holding the lens … More

Please do NOT use the iris to guide Capulorhexis size!

Many surgeons use the iris or pupil size as a guide for capsulorhexis creation — but you should not. Do … More

Use the Chopper for Hemi-Nucleus Management

The chopper can do so much more than chop. It can be used to fixate the eye via the paracentesis, … More