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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: IOL related

1735: Curriculum Lesson 16: IOL loading

Continuing with lesson 16 in our Curriculum series, focusing on IOL loading. Every surgeon must know how to load the … More

curriculum, IOL

1734: the 7L rule saves the day

The 7L rule has been passed down from one generation of ophthalmologists to the next for many decades. It is … More

upside down IOL

1677: cataract surgery & phakic IOL removal

This patient had a phakic IOL placed many years ago for the treatment of a high degree of axial myopia. … More

phakic IOL

1676: this IOL is going in upside down

The 7L rule makes my life so much easier. This rule states that the leading haptic should look like the … More

upside down IOL

1674: IOL choice in a teenager

This young patient presents with dense posterior subcapsular (PSC) cataracts in both eyes which is severely limiting the vision. The … More

IOL, PSC cataract, young patients

1669: Juvene IOL – Grail Study Results

Truly accommodating IOL offers promising results Ophthalmologists have been searching for effective ways to address presbyopia for many decades, particularly … More

accommodation, IOL

1666: IOL exchange for glare, halos

Some patients just cannot tolerate a trifocal IOL design and that is compounded if the refractive target is missed and … More

iol exchange, trifocal

1661: X-NIT simplifies Yamane IOL fixation

Our guest surgeon has developed a novel technique for simplifying the Yamane IOL scleral fixation procedure. Typically with the Yamane … More

scleral fixated IOL, yamane

1643: limitations with the Vivity IOL

***I mis-spoke at the 1 min mark: small aperture is more depth of field and longer shutter time. The large … More

alcon vivity, EDOF

1635: Would you do an IOL exchange?

Let’s say that you have a patient who already had cataract surgery more than a year ago. At that time … More

iol exchange, trifocal

1631: Marfan Case with Yamane IOL

In cases where the surgeon performs Yamane intra-scleral haptic fixation (ISHF) it is recommended that at least a partial anterior … More

marfan, yamane

1629: can you show more Tecnis cases?

A number of ophthalmologists have asked if I can show more cases using Tecnis IOLs and I am happy to … More

eyhance, tecnis

1619: high power IOLs for radial keratotomy

Over the course of decades, we have found that radial keratotomy (RK) keeps flattening the cornea. Initially these previously myopic … More

hyperopia, radial keratotomy

1617: minus power IOLs – meniscus

This patient is so extremely myopic that the IOL power is -2.0 diopters (minus power) in order to leave the … More

3-piece IOL, complete cataract case, high myopia, ultra myopia

1610: poly-pseudophakia 2 IOLs in 1 eye

Nanophthalmic eyes are among the most challenging when it comes to cataract surgery. There are additional risks and the working … More

2 IOLs, cataract surgery, hyperopia

1608: different ways to explant IOLs

99% of the time the IOL implanted at the time of cataract surgery is the one that the patient will … More

iol exchange

1607: Z-suture technique to secure IOLs

There are so many innovative techniques in ophthalmology, that it is quite a challenge to learn all of them. This … More

sutured IOL

1593: this EDOF patient will be amazed

What are the factors for success with EDOF (extended depth of focus) IOLs? How can we ensure that the patient … More

cataract surgery, EDOF

1587: IOL scaffold technique

The IOL scaffold technique is where the IOL is implanted prior to removal of the last bits of the cataract. … More

IOL scaffold

1547: Quiz: Why is the IOL decentered?

Look carefully at the picture and see if you can determine why the IOL is decentered? The capsulorhexis looks good … More

cataract quiz, decentered IOL

1522: pupil size affects EDOF IOL vision

As surgeons, we know that the refractive outcome for each patient depends on our surgical technique, the calculations, the technology, … More

EDOF, pupil size

1511: explanting the bag + IOL + CTR

This patient has late dislocation of the entire capsular bag including the capsular tension ring (CTR) and the IOL. To … More

CTR, iol exchange

1488: Fuchs Dystrophy with EDOF IOL

In the past, I was reluctant to implant an EDOF (extended depth of focus) IOL in patients with corneal issues. … More

EDOF, fuchs

1483: challenging case of ectopia lentis

Our guest surgeon, Dr Guillermo Amescua, is an outstanding surgeon at the Bascom Palmer Eye Institute in Miami, Florida, USA. … More

ectopia lentis, weak zonular support

1480: ASCRS case 11: reposition toric IOLs

Toric IOLs are great for treating significant degrees of corneal astigmatism and in the USA, we have a range that … More

reposition IOL, toric IOL

1478: ASCRS case 9: upside down IOL

You may be surprised to learn that an upside down IOL happens to every single cataract surgeon. The key is … More

upside down IOL

1477: ASCRS case 8: IOL exchange

There comes a time every so often when you will need to perform an IOL exchange. This is not as … More

iol exchange

1475: ASCRS case 6: re-fixating the IOL

When you have dislocation of the IOL or the entire IOL+capsular bag complex, what are the options for re-fixation? This … More

dislocated IOL, IOL flange

1468: great Yamane cases always do this

The Yamane technique of securing a three-piece IOL to the scleral wall is ingenious. It can work very well but … More

IOL flange, yamane

1422: IOL surgery for ectopia lentis

While having a dislocated crystalline lens is a rare occurrence, it can pose surgical challenges due to the lack of … More

sutured IOL, weak zonular support

1421: belt loop technique to secure IOLs

Our guest surgeon, Dr Cathy McCabe from Florida, USA has an innovative way of securing IOLs to the sclera in … More

dislocated IOL, sutured IOL

1419: How to reposition a toric IOL

It is now months after the original cataract surgery and you examine your patient and realize that the toric IOL … More

reposition IOL, toric IOL

1389: posterior capsulorhexis optic capture

Our guest surgeon performs cataract surgery for this 5 year old child with galactosemia and he uses pearls learned from … More

posterior capsulorhexis

1386: IOL designed for scleral fixation

For patients with aphakia and an absence of zonular support, many surgeons recommend fixating the IOL to the sclera. This … More

scleral fixated IOL

1344: dislocated IOL and capsular bag

This patient presented to our teaching clinic with a history of blunt ocular trauma about six months prior. He stated … More

dislocated IOL

1318: trifocal IOL performance years later

In the USA we have had access to some trifocal IOLs for the last couple of years. During that time … More

trifocal

1315: Update on the Tecnis Eyhance IOL

This video gives an update on my experience with the J&J Tecnis Eyhance monofocal IOL. It is a good monofocal … More

eyhance, surgical discussion

1304: EDOF IOL with Prior RK

You may be surprised when I tell you that I continue to learn more and more from making surgical videos. … More

EDOF, radial keratotomy

1297: intra-scleral IOL haptic fixation

The three main ways of fixating a three-piece IOL to the sclera without using sutures: the Yamane technique, the Scharioth … More

scleral fixated IOL

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

iol exchange

1291: IOL exchange segment bifocal IOL

Some may think that a segment bifocal IOL would have no sacrifices in visual quality compared to a bifocal (or … More

iol exchange

1289: how to re-center a Yamane IOL

The Yamane technique for fixation of a three-piece IOL to the sclera is a good option for a posterior chamber … More

IOL centration, yamane

1287: 3-piece IOL butterfly cartridge

This video shows how to load a three-piece IOL in the butterfly style cartridges. This is the recommended device for … More

3-piece IOL, cataract surgery

1274: pre-loaded IOLs are the future

At this point, nearly all IOL manufacturers offer at least some of their IOLs in pre-loaded form. The idea behind … More

cataract surgery, preloaded IOLs

1264: Yamane IOL fixation step-by-step

Our guest surgeon, Dr Utku Limon from Turkey, does a great job of performing the Yamane IOL fixation technique where … More

IOL fixation, yamane

1260: avoid this mistake with IOL insertion

This video shows a very important lesson that all beginning surgeons must learn. A lack of pivoting in the incision … More

IOL, resident cataract surgery

1250: IOL exchange with open PC

For an IOL exchange procedure, it is easier to proceed if the posterior capsule is still intact because it forms … More

iol exchange

1248: surgeon surprised by zonular loss

A careful slit-lamp microscope examination of the eye during the pre-operative consultation can pick up most cases of compromised zonular … More

traumatic cataract, weak zonular support

1244: why I use so many different IOLs

As surgeons, our number one priority is our patients. We look out for our patients and their best interests and … More

IOL

1229: IOL exchange & Soemmering Ring

This patient had cataract surgery years prior with significant intra-operative complications. The posterior capsule was ruptured and a sulcus IOL … More

iol exchange, soemmering

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