2829: supra-capsular phaco for high myopia

This is a complete cataract case shown start to finish with me operating. You can see all of these cases … More

2717: Should you keep or remove this phakic IOL?

Our guest surgeon is very talented surgically and manages to perform a beautiful cataract surgery in a patient while operating … More

2409: secrets to IOL calcs in high myopia

This video is a complete cataract case (this is a sub-category on the CataractCoach.com wesbite of unedited videos of exclusively … More

2259: toric Evo Visian ICL phakic implant

When I first started to use the Visian ICL phakic lens implant in 2006, it was a different time with … More

2220: early cataracts in myopic patients

I’m sure you have noticed that myopic patients tend to develop cataracts earlier in life compared to their emmetropic and … More

2051: large capsular bag has more wrinkles

In cataract surgery we are replacing the thick human crystalline lens (4.5 to 5 mm thick) with a thin IOL … More

1986: Evo Visian ICL for high myopia

Lenticular refractive surgery is more powerful than corneal refractive surgery for the treatment of large refractive errors. With refractive lens … More

1912: Refractive Lens Exchange High Myopia

We can agree that a refractive lens exchange is a good way to address high hyperopia in presbyopic patients, but … More

1684: displaced phakic IOL & endo loss

This patient had bilateral phakic IOLs implanted about a year ago to address a high degree of myopia. Now the … More

1628: more pearls for highly myopic patients

Highly myopic patients are amazed by cataract surgery because we can address even extreme degrees of myopia while giving great … More

1627: follow up from myopia IOL calcs

I trust that you are enjoying our IOL Calc Case Study videos where we go into the details of interesting … More

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

1602: IOL calc case study 6: high myopia

This patient has a high degree of myopia and also a high degree of corneal astigmatism. The patient wants to … More

1569: phaco under a phakic IOL

We have featured videos in the past of performing cataract surgery in patients who already have a phakic IOL in … More

1499: High Myopia Cataract Surgery

This is a very large eye with an axial length of 31 mm and an anterior chamber depth of 4 … More

1486: LIDRS to help with cortex removal

LIDRS is Lens-Iris Diaphragm Retropulsion Syndrome and it occurs where there is a reverse pupillary block and the pressure in … More

1432: high myopia refractive targeting

There is a reason why I recommend that you do NOT aim for a plano outcome in highly myopic eyes. … More

1426: techniques for SMILE laser vision

Our guest surgeon is an expert in Small Incision Lenticule Extraction (SMILE) laser vision refractive surgery and has performed thousands … More

1338: small incision lenticule extraction

Corneal refractive surgery for myopia is done by removing some of the corneal stroma in order to flatten the central … More

1325: Lens Iris Diaphragm Retropulsion

LIDRS is lens iris diaphragm retropulsion syndrome and it occurs when the iris forms a seal around the anterior capsule … More

1285: remove the central capsule wrinkle

In very myopic eyes, the capsular bag is actually bigger, the same way that the corneal white to white diameter … More

1202: pearls for your first LASIK surgery

It is important to learn LASIK and other forms of refractive surgery during residency training. When I was a resident … More

1114: success with young cataract patients

When we are operating on a younger cataract patients, the stakes are higher and the surgery must last the patient … More

1016: flip and chop in high myopia

This is a patient with a large degree of myopia and a relatively dense cataract. And it is a good … More

highly myopic cataract surgery

These are some of the most rewarding cataract surgeries to perform since we can correct the cataract as well as … More

Anterior Chamber Phakic IOL removal

Phakic IOLs are useful to address extreme degrees of myopia, but there are potential complications. Previously, we have featured cases … More

Routine Cataract Case for Myopic Patient

Complete Cataract Case: the entire surgery is shown from start to finish, but don’t fret, it is still just a … More

PanOptix IOL in a Highly Myopic Patient

most extreme PanOptix IOL power for extreme myopia

Cataract Quiz: Why did this happen?

Looking at this picture, the pupil dilation went from 5 mm in diameter to 10 mm in diameter in just … More

Pars Plana Injection of BSS

Our guest surgeon, Dr Mohammad Abusamak from Jordan, is performing cataract surgery on this monocular patient who has a high … More

Playlist: Cataract Surgery in Myopia

playlist: cataract surgery in myopia

complete case: phaco chop in myope

Complete Cataract Cases are videos where we show the entire surgery, from the first incision (usually the paracentesis in my … 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

Quick Fix for Reverse Pupillary Block

In myopic eyes and post-vitrectomy eyes, we can get an overly deep anterior chamber during cataract surgery. The infusion pressure … More

Why are we making a small capsulorhexis?

In many previous videos, we have explained why it is important to have a sufficiently large capsulorhexis. For an optic … More

The Most Extreme Myopia that I’ve seen in 20+ years

An average eye has an axial length of about 23 to 24 mm, but this patient had an axial length … More

For ultra high myopes, do not aim for plano!

For patients with a large degree of myopia, undergoing cataract surgery can be life changing because in addition to fixing … More

IOL Calculations in Ultra High Myopia

Most people consider high myopia to be about -10 diopters or greater. We have covered this topic extensively in the … More

Temporal vs Superior Phaco Incisions

[Click link below for full video] Some surgeons prefer to make a superior phaco incision while others prefer a temporal … More

Cataract Surgery Technique in Highly Myopic Eyes

We have previously featured an article about doing cataract surgery in these highly myopic eyes, so we will focus on the surgical … More

3 Keys for Cataract Surgery in High Myopes

[From CataractCoach.com – see below for full video] Cataract surgery is arguably the most powerful refractive surgery because the new … More