2866: trocar placement punctures the lens

We always aim for a perfect case, but as every seasoned surgeon knows, it’s not about the complication, rather it’s … More

2776: pre-existing posterior capsule rupture

Cataract surgery in an eye with a posterior capsule rupture from a prior intravitreal injection requires careful preoperative planning and … More

2605: combination PPV and IOL exchange

In this video, we have a tag team commentary with Prof. Pradeep Prasad, host of our sister channel RetinaRounds.com, and … More

2489: cataract with vitreous hemorrhage

This patient has vitreous hemorrhage and a cataract and will undergo combined phaco, IOL implantation, and pars plana vitrectomy. The … More

2485: vitreous prolapse after YAG laser

Every surgery has some element of risk, no matter how small or easy the procedure happens to be. We will … More

2483: Quiz: Why the recurrent bleeding?

This patient had cataract surgery 6 years ago and has suffered from recurrent vitreous hemorrhage and uveitis ever since. Looking … More

2475: MSICS with Pars Plana Vitrectomy

Our guest surgeon does a great combination case of removing a dense cataract with MSICS (manual shelved-incision cataract surgery) and … More

2469: cataract after intra-vitreal injection

With tens of millions of intra-vitreal injections being performed worldwide, a seemingly rare complication like capsule rupture happens to many … More

2468: the prior vitrectomy hit the capsule

This patient had 4 prior pars plana vitrectomies: the first was to treat a retinal detachment, then the patient re-detached … More

2355: transconjunctival IOL fixation

Our guest surgeon uses 8-0 Gore-Tex suture to fixate an IOL with eyelets to the sclera using a transconjunctival approach … More

2335: ruptured globe needle penetration

This patient sustained an ocular injury where a needle / wire penetrated the central cornea and the crystalline lens. This … More

2314: extrusion cannula assisted levitation

This patient had complications during cataract surgery which resulted in a ruptured posterior capsule, retained lens fragments, and the IOL … More

2276: Yamane pearls from a retina surgeon

The Yamane technique of scleral fixation of an IOL has become popular over the past few years. It can work … More

2271: what to do when the nucleus drops

It is a complication that happens to 100% of cataract surgeons: a ruptured posterior capsule allows the lens nucleus (or … More

2163: total ocular reconstruction

This is a very complex case in a monocular patient who presents to you with a dislocated IOL and capsular … More

2154: re-inserting the haptic for ISHF

Intra-scleral haptic fixation (ISHF) has become a popular way of dealing with the absence of capsular support ever since it … More

2151: microspherophakia cataract surgery

This is a tough case where the patient has an unusual eye with a very small anterior segment but a … More

2125: lens punctured during vitrectomy

This patient recently had a pars plana vitrectomy and there was an iatrogenic complication when the vitrector inadvertently punctured the … More

2124: IOL exchange and pars plana vitrectomy

This patient complains of “multifocal misery” as well as extensive floaters which can further degrade the image quality. An IOL … More

2095: irido-zonulo-hyaloido-vitrectomy

This patient has malignant glaucoma and to treat that the procedure is IZHV: irido-zonulo-hyaloido-vitrectomy. Here is what our guest surgeon … More

2076: run-out rhexis leads to challenges

One of our favorite topics on CataractCoach is the intumescent white cataract. One of the primary difficulties in these cases … More

2035: kebab technique for dropped nucleus

Every cataract surgeon will encounter the complication of a dropped nucleus. This is to be expected even with perfect surgical … More

2013: cataract after pars plana vitrectomy

This patient had a pars plana vitrectomy for retinal pathology and then developed this central posterior capsule opacity shortly thereafter. … More

1913: favorite technique for post PPV eyes

Prior pars plana vitrectomy (PPV) makes the cataract surgery more challenging because it removes the anterior hyaloid face and vitreous … More

1874: challenging rescue of a dislocated IOL

In this case, the IOL is falling back into the vitreous cavity and it is certainly entangled with the vitreous. … More

1825: the problem with one haptic in the sulcus

This patient has femtosecond laser assisted cataract surgery with placement of a trifocal IOL two years ago. And while the … More

1775: the IOL is sitting on the macula

This patient suffered late dislocation of the IOL+capsular bag complex and it fell into the vitreous cavity and it now … 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

1697: what is this loose Gore-Tex suture?

Our guest surgeon, Dr Sara Bozorg, has sent us a very interesting case. This patient had some unknown procedure performed … More

1689: phaco & pars plana vitrectomy

This patient has a rhegmatogenous retinal detachment as well as a visually significant cataract. Our guest surgeon is experienced with … 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

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

1586: bringing the dropped nucleus up

If the posterior capsule ruptures and the nucleus drops during cataract surgery, my advice to you is to let it … More

1560: IOL calc case study 3: prior PPV

Patients will have accelerated cataract development after a pars plana vitrectomy, and these patients will be sent to you for … More

1554: traumatic cataract and macular hole

The eye is a very fragile organ and trauma can cause dramatic damage that can be challenging to repair. We … More

1542: tough resident cataract case

This is a very tough resident cataract case and there are some complications. The most important point is that the … More

1484: phaco before vitrectomy surgery

This patient has visually significant cataracts in both eyes and a full-thickness macular hole in one eye. I have already … More

1381: please do not fish in the vitreous

When a posterior capsule rupture is encountered during cataract surgery, an anterior vitrectomy often needs to be performed to remove … More

1375: cataract with silicone oil droplets

This complete cataract case features a patient who underwent a prior pars plana vitrectomy for a retinal detachment and then … More

1361: dislocated microspherophakia

While microspherophakia is a relatively rare condition, we have featured it here previously including a resident case. This case is … More

1327: nanophthalmic eye with flat AC

Our guest surgeons today teamed up to help complete this cataract surgery in a nanophthalmic eye. The axial length is … 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

1299: cataract surgery in nanophthalmos

This patient has a very small eye with an axial length of just 15 mm. That makes the entire surgery … More

1236: IOL exchange & Yamane technique

The Yamane technique for IOL fixation to the sclera is an innovative way to secure a three-piece IOL in the … More

1211: white cataract drops into vitreous

Our guest surgeon presents a case of a surprise complication when the white cataract falls into the vitreous cavity. He … More

1161: IOL rescue suture fixation

Twenty years ago, the most common method of suturing an IOL to the sclera was using 10-0 prolene and a … More