If there is less nuclear density, then flip and chop is also a great technique. It brings the nucleus up … More
Category: posterior sub capsular (PSC) cataracts
1268: posterior capsulorhexis behind IOL
We have shown previous cases of posterior capsulorhexis here and here and in both this was performed prior to IOL … More
1252: how I handle soft cataracts
Soft cataracts require one important step for success: get the nucleus away from the posterior capsule. I like to accomplish … More
1242: soft posterior sub-capsular cataract
When a resident or beginning surgeon is performing phaco on a soft posterior sub-capsular (PSC) cataract, there is one critical … More
1226: primary posterior capsulorhexis
There are some cases where it is preferable to make a primary posterior capsulorhexis at the time of cataract surgery … More
1215: soft PSC cataract in a 30 year old
When we perform cataract surgery for any patient, we must be cognizant that the patient will see the world through … More
1207: soft PSC cataract technique
This a complete cataract case, shown start to finish, for a young patient (age is early 30s) who has an … More
1116: how to clean this scarred capsule
In this case of a dense posterior sub-capsular (PSC) cataract, there is some scarring of the posterior capsule. It is … More
1100: Very soft PSC cataract technique
This patient is young, under age 40, and has been suffering from posterior subcapsular cataracts for more than 1 year. … More
1061: soft cataracts the easy way
It would seem that performing cataract surgery on an eye with a soft cataract would be easier. Since there is … More
Secret to Chopping a Soft Cataract
If the cataract has a minimal amount of nuclear sclerosis, it is more challenging to chop it. The nucleus is … More
adherent posterior capsule plaques
You are doing cataract surgery for a patient with a dense nucleus, an advanced cataract, with barely count fingers vision. … More
Soft cataracts can be quite difficult
Most surgeons associate dense cataracts with increasing difficulty during cataract surgery because they require more ultrasonic energy to break up … More
Tough posterior capsule opacity
When a patient presents with a dense posterior sub-capsular cataract and there is difficulty removing all of the opacity, how … More
Ensuring accuracy of A-scan ultrasound
Correlate A-scan & biometry measurements to improve accuracy in IOL calculations. This case shows how disparate measurements can lead to … More
Review: Posterior Capsulorhexis Technique
If there is a central posterior capsule plaque that cannot be removed with the suction from the irrigation/aspiration probe, we … More
Complete Case: Dense PSC & Shallow AC
This is a complete case, shown from start to finish. For many of our CataractCoach viewers, particularly the surgeons with … More
Two-Step Technique for PSC & NS Cataract
We have shown videos for soft posterior subcapsular cataracts where we prolapse the entire lens out of the capsular bag … More
SupraCapsular Technique for Softer Nuclei
For a relatively soft nucleus, such as in a younger patient with primarily posterior subcapsular cataract changes, the supracapsular technique … More
Cataract surgery after prior trabeculectomy
A well-functioning trabeculectomy surgery is a delicate balance between the aqueous production and the additional outflow via the filtering bleb. … More