This is a VERY difficult surgery and truly requires expert hands to achieve an excellent outcome. Our guest surgeon does … More
Category: pseudo-exfoliation
1960: nonagenarians with pseudo-exfoliation
We have previously featured videos about cataract surgery in nonagenarians and we know that after the age of 90, the … More
1920: small pupil pseudo-exfoliation
Our guest surgeon does a great job with this tough case of pseudo-exfoliation with a relatively small pupil. And this … More
1841: ASCRS 2023 Course Case 1
On Sunday, May 7, 2023 we had our Best of CataractCoach.com course at the ASCRS meeting in San Diego. It … More
1820: monocular with pseudo-exfoliation
Ophthalmologists are very familiar with pseudo-exfoliation syndrome since it makes the cataract surgery more challenging due to poor dilation or … More
1813: My Week: pseudo-exfoliation case
All this week we will be showing videos of me operating. When I first started CataractCoach in 2018, almost all … More
1780: resident week: pseudo-exfoliation
Continuing with resident week, we present a case of pseudo-exfoliation (PXF). There is a spectrum of disease when it comes … More
1738: sudden choroidal hemorrhage
This is another great example of how even an experienced, expert surgeon can encounter a complication during cataract surgery. This … More
1711: severe PXF and zonulopathy
This is a very challenging surgery and most surgeons would rate it a 9 or 10 out of 10 in … More
1694: nonagenarian pseudo-exfoliation
Cataract surgery is different in nonagenarians as it seems that once the patient reaches age 90, the aging process will … More
1620: pseudo-exfoliation cataract surgery
When it comes to patients with pseudo-exfoliation (PXF) and cataracts, does the pre-operative examination predict the intra-operative challenges? The title … More
1614: PXF, shallow AC, DWC, zonulopathy
This is a tough case with many challenges: pseudo-exfoliation syndrome, a shallow anterior chamber, a dense white cataract (with intumescence), … More
1583: pseudo-exfoliation with iris hooks
Our guest surgeon does a great job with this tough cataract case. The patient has an intumescent white cataract and … More
1450: pseudo-exfoliation in a 90 year old
Pseudo-exfoliation syndrome means that cataract surgery will be more challenging. The pupil will not dilate as much, the zonular support … More
1352: capsular tension rings: when & how
This is my presentation for today, Tuesday, January 18, 2022 at the Hawaiian Eye Meeting and it is a concise … More
1165: routine pseudo-exfoliation case
From our Complete Cataract Case series, this is a video of a patient with pseudo-exfoliation syndrome which can make the … More
1027: Playlist: Pseudo-Exfoliation
Cataract surgery in the setting of pseudo-exfolation is particularly challenging due to the structural weakness that occurs with this disease … More
1015: phaco flip + chop in pseudo-exfoliation
This complete cataract case features an elderly patient with a dense cataract and pseudo-exfoliation. We use the flip and chop … More
Pseudo-Exfoliation White Cataract
Our guest surgeon today is a young ophthalmologist from Spain and he is performing phaco for a patient with a … More
Cataract Quiz: First eye predicts the next
This patient had cataract surgery in the first eye a few years ago and when we look at the undilated … More
Severe Zonular Laxity in PXF Cataracts
This is a really difficult surgery and we know that ahead of time. When we examine this patient at the … More
Complete Case: Pseudo-Exfoliation
Time for a complete cataract case, shown from start to finish. This patient has significant pseudo-exfoliation syndrome with all of … More
MSICS in Pseudo-Exfoliation
It is important to learn how to perform MSICS: manual small incision cataract surgery. This is a more evolved and … More
Capsular tension rings in PXF
capsular tension rings (CTR) in pseudo-exfoliation (PXF) cataract surgery
Surgeon returns after a 3 month hiatus
Performing surgery at a high level is a skill that must be continually honed and practiced. What happens when we … More
Small pupil, PXF, and IFIS
For a beginning surgeon it is helpful to see surgeons performing techniques that are out of your comfort zone. The … More
Quiz: What is different about this cataract?
Look carefully at the picture above and you will see something that is different about this white cataract. It is … More
Complete Case: loose zonular support
Another great video in our series of Complete Cataract Cases: a dense cataract in the setting of loose zonular support. … More
Complete Case: PXF supra-capsular chop
The previous case (reference 611) from yesterday, showed the first eye of this patient where the technique was phaco chop … More
Complete Case: PXF chop in the bag
Today (video 611) and tomorrow (video 616) are the two eyes of the same patient who has pseudo-exfoliation syndrome and … More
Predicting Pseudo-Exfoliation weakeness
We have previously covered the topic of pseudo-exfoliation (PXF) in detail here on CataractCoach. It is an important topic because … More
Review: Pseudo-Exfoliation Cataract Surgery
Pseudo-Exfoliation / Small Pupil / Weak Zonules / Shallow AC (watch video below) A sweet 80 year old patient comes … More
Danger: Clear Crescent Red Reflex
When you are mobilizing a dense nucleus and you briefly see a bright, clear, crescent-shaped red reflex, you can be … More
Review: Cataract Surgery in Pseudo-Exfoliation
We often encounter patients with Pseudo-Exfoliation Syndrome, often abbreviated as PXF, which makes cataract surgery significantly more challenging. The PXF … More
What can we learn from the first eye cataract surgery?
The patient had cataract surgery of the right eye two years ago. Initially, she had a plano outcome and great … More
Severe Capsular Phimosis
Capsular phimosis occurs when there is severe contraction of the anterior capsular tissue which results in a shrinking of the … More
Cataract Surgery in Pseudo-Exfoliation Syndrome
We often encounter patients with Pseudo-Exfoliation Syndrome, often abbreviated as PXF, which makes cataract surgery significantly more challenging. The PXF … 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
Pupil Size in Pseudo-Exfoliation Cataract Surgery
Pseudo-exfoliation (PXF) syndrome can make cataract surgery more challenging because of the concomitant issues that exist in these eyes. The … More
3 Keys to doing 4-point Sceral-sutured IOLs
From CataractCoach.com: With video footage provided by Dr. Michael Patterson, we review the anterior segment approach to 4-point fixation of an IOL … More
Pseudo-Exfoliation Cataract Surgery
Pseudo-Exfoliation / Small Pupil / Weak Zonules / Shallow AC (watch video below) A sweet 80 year old patient comes … More