1781: resident week: posterior sub-capsular

For this resident case there is an extensive posterior sub-capsular cataract which is causing poor vision, decreased acuity, and tremendous … More

1425: posterior polar or sub-capsular?

Time for you to make the call: you bring the surgical microscope to the eye and just before you start … More

1282: flip and chop for softer lens

If there is less nuclear density, then flip and chop is also a great technique. It brings the nucleus up … More

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

Posterior Capsulorhexis for a posterior capsule plaque

If there is a central posterior capsule plaque that cannot be removed with the suction from the irrigation/aspiration probe, we … More

Resident Case: Adherent Posterior Capsule Plaque

Sometimes we can have a plaque of cataract material that is adherent to the central posterior capsule. There are ways … 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

Technique for PSC Cataract Surgery in younger patients

Posterior SubCapsular (PSC) cataracts are more commonly found in our younger patients and in particular, they can cause difficulty with … More

I/A Only Technique for a Very Soft Cataract

This patient is young, about 30 years old, and he developed a very dense and large posterior sub-capsular opacity which … More

Cataract Surgery in Retinitis Pigmentosa

While retinitis pigmentosa is considered a rare disease, it occurs with enough frequency that every cataract surgeon will encounter it … More

Hydro-delineate if the Capsulorhexis is too small

Hydro-delineation is a valuable tool particularly in cases where the capsulorhexis is small because it allows us to separate the … More

The Adherent Posterior Capsule Plaque

This patient had a long-standing cataract with a very dense 4+ posterior sub-capsular component. Pre-operative vision was barely counting fingers … More

Soft PSC: Posterior Sub-Capsular Cataracts Made Easy

Try this technique to increase safety and provide the best visual outcome for your patients with posterior sub-capsular cataracts. (scroll … More