Posterior Polar with capsule defect seen on AS-OCT A posterior polar cataract is a known surgical landmine, but in this … More
Category: OCT ocular coherence tomography
1530: intra-scleral flange placement
In the past few years we have seen many advances in IOL fixation using techniques described by Yamane, Canabrava, Oetting, … More
1497: analyzing the incision with OCT
Look carefully at your phaco incision to see if you are making the mistake of the chevron incision. The roof … More
1217: finally a great phaco incision
When residents are learning cataract surgery, one of the struggles is getting the phaco incision right. The incision is critical … More
1034: Playlist: IntraOp OCT Scan
The intra-operative OCT scan is a rarity in ophthalmic operating rooms because of its cost which can add $60,000 to … More
Descemet’s Membrane Detachment
When we make a corneal incision for cataract surgery, we must be careful to avoid damaging the attachment of Descemet’s … More
Never make an incision like this!
This is a resident case where the incision has terrible construction. The primary mistake is gliding the keratome along the … More
Cataract Quiz: how to rescue this case
This patient has an intumescent white cataract and we know that poses a risk of capsular run-out due to the … More
Corneal Phaco Incision Hydration
The technique of corneal stromal hydration to help seal a phaco incision is useful to ensure a watertight incision and … More
Review: The Angle of Approach for Incisions
The angle of approach of the keratome will determine the tunnel length of our phaco incision. If the angle is … More
Descemet Membrane Detachment
When we make a phaco incision that involves the cornea, there is always a risk of having focal detachment of … More
DMEK surgery with pre-loaded graft
We have previously featured Descemet Membrane Endothelial Keratoplasty here on CataractCoach with a video from one of my residents and … More
Leukocoria in a newborn baby
Leukocoria in a newborn baby is an urgent situation that needs immediate attention from an ophthalmologist. The cause of the … More
Review: Phaco Incision OCT Analysis
The phaco incision is part of your signature which links you to the patient’s eye forever. Your incision will forever be visible … More
Peeling off a Pupillary Membrane
In this complex case, there is a nearly complete pupillary membrane in an eye with a cataract and a prior … More
Phaco Incision Do-Over
In this case, the resident begins by making a phaco incision that is not good. The roof is too thin … More
Review: Phaco Incision OCT & Live Video Analysis
The phaco incision is part of your signature which links you to the patient’s eye forever. Your incision will forever be visible … More
Retained Cortex leads to trouble and macular edema
In this anonymously-submitted case, a small amount of lens cortex was left in the capsular bag at the time of … More
The ideal Angle of Approach for the phaco incision
The angle of approach of the keratome will determine the tunnel length of our phaco incision. If the angle is … More
Phaco Incision OCT & Live Video Analysis
The phaco incision is part of your signature which links you to the patient’s eye forever. Your incision will forever … More
Never make your phaco incision like this!
In this anonymous video we have a phaco incision that is very poorly made. The placement is too far from … More
If your incision has bad construction, try again
As you are making your phaco incision, judge the architecture and if it is not good, then stop and do … More
OCT analysis of Pseudo-Exfoliation Cataracts
Patients with pseudo-exfoliation (PXF) syndrome are known to have deposits of fibrillar material throughout the anterior segment. This is most … More
Good versus Bad Corneal Phaco Incisions with OCT
The phaco incision is critical to the success of the cataract surgery. It gives us controlled access to the cataract, … More
OCT analysis of a corneal phaco incision
For teaching my resident surgeons who are completing their years of ophthalmology training at our UCLA hospitals, we have recently … More