Ectopia Lentis et Pupillae is a rare, autosomal recessive condition primarily linked to mutations in the ADAMTSL4 gene located on … More
Category: iris suturing
2933: anterior segment reconstruction
This is a very difficult case of a patient with complete opacification of the cornea, a prior failed corneal transplant, … More
2916: Off-center Pinhole Pupilloplasty
In this surgical case, Dr Amar Agarwal shares his brilliant, off-center, offset pinhole pupilloplasty technique for managing eyes with complex … More
2877: “Zombie” Double Tap to set IOP
On yesterday’s Cataract Coach Podcast (the top podcast in all of ophthalmology!) we learned some great surgical pearls from our … More
2870: pupilloplasty & capsular bag fixation
This video features our talented guest surgeon performing two tough cases, both with a pupilloplasty and each doing a different … More
2821: severe trauma eye reconstruction
Management of high-grade traumatic iridodialysis requires meticulous surgical intervention to mitigate the functional morbidity such as debilitating photophobia. Our goal … More
2816: amazing iris coloboma repair
I was really amazed by the technique in this video because the surgeon achieved a fantastic result by first trimming … More
2787: IOL suspension Gore-tex suture loop
Our guest surgeon does a great job with this very tough case. The patient sustained severe ocular trauma and now … More
2762: pinhole pupilloplasty in corneal trauma
Dr. Amar Agarwal’s pinhole pupilloplasty offers an elegant optical solution for patients with severe corneal scarring, where traditional refractive correction … More
2737: triangle technique for iris cerclage
An iris cerclage (purse-string) suture is a valuable pupilloplasty technique used to manage chronic mydriasis when sphincter function is lost … More
2671: cataract after penetrating ocular injury
In a patient presenting for cataract surgery one year after a penetrating injury with a metal wire through the limbus, … More
2597: reverse pinhole pupilloplasty
Yesterday, our amazing CataractCoach Podcast (the top podcast in all of ophthalmology!) featured Dr Priya Narang who just won a … More
2579: total anterior segment reconstruction
Our guest surgeon does a great job with a very difficult case. This patient has an opacified IOL that is … More
2537: inadvertent iridodialysis, hyphema
We love complication videos because they offer some of the best learning. If you want your video featured on CataractCoach™ … More
2528: traumatic zonulopathy & mydriasis
Traumatic eye injuries can be very challenging because often we do not know the full extent of the damage until … More
2508: cerclage technique pupilloplasty
Performing a pupilloplasty can be challenging since we are working with very delicate iris tissue, in the confines of the … More
2480: pinhole pupilloplasty for corneal scar
This young patient sustained a ruptured globe injury with a large central corneal laceration and puncture of the crystalline lens. … More
2445: iris claw lens and pupilloplasty
Our guest surgeon does a great job with a complex case of trauma. This patient has a severely dislocated crystalline … More
2424: GATT for angle recession glaucoma
When I receive videos, I click through them quickly to see the case, but I wait until I’m recording my … More
2394: artificial iris for ICE syndrome
This patient has a rare condition called ICE syndrome which is irido-corneal endothelial syndrome which affects unilaterally. This iris is … More
2285: traumatic cataract with iridodialysis
Traumatic cataracts are challenging because we are not often aware of the full extent of the damage to the delicate … More
2248: the challenge of iris colobomas
When we see an iris coloboma, we should also think of other ocular structures that can be affected by this … More
2243: rescue this aphakia and iris damage
This patient has a complex prior history with cataract removal, loss of the capsular bag, iris damage, and a prior … More
2196: pupilloplasty using cerclage suture
Yesterday’s video featured a simplified pupilloplasty technique using the 4-throw method from Dr Amar Agarwal which really makes it easy. … More
2195: phaco & pupilloplasty in a PKP eye
This patient is undergoing combined cataract surgery and pupilloplasty in this eye which had a prior penetrating keratoplasty (corneal transplant). … More
2188: Best of Cataract Coach: Case 3
Case 3. We had an amazing turnout at our Best of Cataract Coach instructional course at the ASCRS meeting in … More
2075: scleral fixated IOL and iris cerclage
This patient sustained ocular trauma which resulted in aphakia without capsular support and chronic mydriasis. Our guest surgeon does a … More
2074: Quiz: How to fix this dislocated IOL?
This patient is sent to you with no prior history other than having cataract surgery a year ago and then … More
2073: Quiz: How do you fix this iris defect?
This patient sustained ocular trauma which resulted in a white cataract and a large iridodialysis. How would you go about … More
2063: the problem of exposed flanges
We have featured many techniques of IOL fixation in cases of insufficient capsular support such as the Yamane technique, the … More
2053: how can you fix this iris damage?
This patient had a terrible case of floppy iris syndrome and iris prolapse during the initial cataract surgery which was … More
2048: traumatic cataract with corectopia
This young patient sustained ocular trauma many years ago which caused a corneo-limbal perforation which was self-sealed by prolapsed iris … More
2039: total anterior segment reconstruction
This young patient presents with a very difficult situation: a dislocated IOL, fibrotic capsule tissue, iris damage, and uncontrolled glaucoma. … More
1983: trauma, hyphema, & iris damage
We know that you cannot undo trauma. No matter how talented the surgeon and no matter the part of the … More
1932: traumatic cataract with iris damage
Let’s thank this anonymous surgeon for doing a good job helping this patient who suffered from a traumatic cataract and … More
1922: traumatic mydriasis & dislocated IOL
This patient had an intra-ocular foreign body which necessitated a pars plana vitrectomy along with lensectomy and IOL placement. Now … More
1867: pinhole pupilloplasty technique
Patients are often amazed by the magic of the pinhole in addressing refractive issues when we check visual acuity in … More
1836: phaco and irido-dialysis repair
This patient sustained ocular trauma years ago which resulted in the disinsertion of the iris root at the temporal aspect … More
1767: an amazing rescue of a tough case
Our guest surgeon, Dr Steve Safran has become an expert in complex re-operations and anterior segment reconstruction, with countless cases … More
1724: coloboma with zonular absence
Today and tomorrow we are featuring cases with congenital colobomas where there is an absence of part of the iris … More
1686: dense cataract iris & zonular loss
This case is beyond 10 out of 10 in difficulty and our guest surgeon, Dr Steve Safran, is a true … More
1670: traumatic cataract with iris damage
This patient sustained ocular trauma which resulted in a traumatic cataract, zonular loss, iris avulsion, and vitreous prolapse. Now you … More
1568: technique for iris prosthesis
We recently featured a video of a prosthetic iris implant and some CataractCoach fans had pearls to make the procedure … More
1556: iridodialysis repair
The iris is a wimpy tissue that is very delicate and susceptible to damage during cataract surgery. This is relatively … More
1555: Pupilloplasty made easy
The iris can be sutured, typically using 10-0 polypropylene, to help restore the pupil anatomy in cases of iris trauma. … More
1541: iris got caught in the phaco probe
The iris is a delicate and dynamic tissue that can inadvertently be aspirated into our phaco probe or irrigation/aspiration probe … More
1529: prosthetic iris implantation
This patient sustained trauma which caused a cataract but it also resulted in permanent mydriasis with a pupil size of … More
1492: suture the IOL to a prosthetic iris
This patient sustained severe ocular trauma which left the eye aphakic with no capsular support and also significant iris damage. … More
1491: creating a pupil for Axenfeld Rieger
Axenfeld Rieger syndrome is a rare condition where the iris and pupil do not develop correctly in utero and in … More
1319: traumatic cataract with iris damage
This patient sustained blunt trauma a few years ago which resulted in a cataract as well as damage to his … More