Twenty years ago, the most common method of suturing an IOL to the sclera was using 10-0 prolene and a … More
Category: pars plana vitrectomy
1129: exposed and eroding IOL sutures
The best placement of an iOL is in the capsular bag. That is the end of the story. There are … More
1121: how it started… how it’s going…
There is so much to be learned from this case. The patient has advanced diabetic retinopathy and a significant cataract. … More
1073: Why did the AC Depth increase?
This patient had biometry performed in our clinic, using the same machine in 2017 and then again in 2021. Of … More
1014: Cataract after prior vitrectomy
This week we are doing complete cataract cases where we will show an entire surgery from start to finish and … More
Cataract with Silicone Oil Removal
Our guest surgeon is Willie Kan, MBBS from Malaysia and he is showing the technique of combined cataract surgery with … More
Four handed phaco! What?
This is a case where we knew ahead of time there would be issues. The patient is mid 50s in … More
chandelier lighting for cataract surgery
This patient has a non-clearing vitreous hemorrhage from proliferative diabetic retinopathy in addition to a cortical cataract. Our guest surgeon … More
management of a dropped nucleus
This is a rare complication that can happen to any patient so the surgeon must know how to effectively manage … 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
recovering from posterior capsule rupture
Every surgeon, no matter how experienced, will experience complications. The rate of complications such as posterior capsule rupture declines substantially … More
Equanimity under Duress
When Sir William Osler left the University of Pennsylvania’s Medical School (the first one in the USA, started in 1765) … More
Pars plana anterior vitrectomy
The only ophthalmologists who have zero surgical complications are those who don’t operate and those who are not fully truthful. … More
Cataract Surgery with Asteroid Hyalosis
Asteroid hyalosis is a rare condition where patients have calcifications throughout the vitreous jelly. It occurs in about 1-2% of … More
Two-Handed Capsulorhexis Technique
Our guest surgeon is Ravi Goel MD from New Jersey, USA who is also the author of the ProtectingSight.com blog. … 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
Flip and Chop in post-PPV eyes
With a prior pars plana vitrectomy, the anterior hyaloid face is gone and therefore there is less support for the … More
Opacities seen during cataract surgery
In this unusual case we see opacities in the red reflex during cataract surgery. Most of these are within the … More
Quiz: What is this focal lens opacity?
What is this focal lens opacity that is seen during cataract surgery? And how do we remove it? What likely … More
Quiz: what is different about this white cataract?
This patient has an intumescent white cataract but something is different about this case. In fact, there is a very … More
Quiz: Why does this pupil look irregular?
This patient is undergoing a combined cataract surgery with a pars plana vitrectomy. Two novice surgeons are operating: a senior … More
Pars Plana Anterior Vitrectomy can be very helpful
When the capsule breaks during cataract surgery and the vitreous prolapses into the anterior segment, it is important to clear … More
Pars Plana Anterior Vitrectomy & IOL Retrieval
While most cases of vitreous prolapse during a complicated cataract surgery can be effectively address via limbal incisions, there are … More
Cataract Surgery after Macula-Off Retinal Detachment
A macula-off retinal detachment usually means a more limited visual prognosis because the critical central vision has been permanently altered … More
Cataract Surgery in a younger patient with prior PPV
As we demonstrated recently, cataract surgery in a younger patient (under age 50) can be different than in the typical … More
Cataract Surgery and Pars Plana Vitrectomy
There are cases where a patient has both anterior and posterior segment pathology and doing both a cataract surgery plus … More
Phaco Flip in Post-Vitrectomy and Flomax Cases
Phaco flip has an advantage over other methods of nucleus division: the cataract is already partially out of the capsular … More
Should you try to rescue a dropped nucleus?
For most situations, I recommend that if the cataract nucleus drops into the vitreous cavity due to a ruptured posterior … More
Traumatic Cataract: What is your surgical approach?
This 42 year old patient sustained an airbag injury to his face a few months ago. He noted cloudy vision … More
Cataract Surgery after Pars Plana Vitrectomy
Three key points to consider when you perform cataract surgery in an eye with prior pars plana vitrectomy: Check the … More