1540: Why won’t the IOL stay in the bag?

Cataract Quiz: Look at the picture above and see if you can figure out why the IOL keeps coming out … More

1482: upside down IOL – who is at fault?

Watch this anonymous video very carefully and let me know who is to blame for this upside down IOL, the … More

1470: ASCRS case 1: what happens next?

At the 2022 ASCRS meeting in Washington, DC, we hosted a CataractCoach instructional course and it was a huge success. … More

1451: Quiz: Where is the lens fragment?

A retained lens fragment is common in cataract surgery because we are breaking up the cataract into many smaller pieces … More

1385: Quiz: you notice this after draping

Quiz time! You have this patient scheduled for routine cataract surgery. Nothing out of the ordinary was noted at the … More

1374: how do you remove this spot?

This is a complete cataract case where I find a small central opacity on the posterior capsule. It is on … More

1373: Quiz: what are these opacities?

This is a complete cataract case with a quiz: watch the video (it is brief) and tell me what you … More

1306: Cataract Quiz: IOL not centered

This seemed like a routine cataract case with a good capsulorhexis and strong zonular support. So why did the IOL … More

1210: How did this fragment get here?

Time for a cataract quiz. You are doing a seemingly routine cataract surgery and you experience no complications and in … More

1060: Quiz: Why is this so adherent?

Another Cataract Quiz: the case seemed totally normal and without any issues. The IOL is in the capsular bag and … More

1059: Quiz: the case is not done yet

The answer to this Cataract Quiz is seen in the photo above. Look carefully – what do you notice? The … More

1047: Complete Cataract Case & Quiz

You start to perform the capsulorhexis and then you notice these wrinkles of the anterior lens capsule. How should you … More

Playlist: Hiding in plain sight

There are so many subtle clues in cataract surgery that can easily be missed, particularly when less experienced surgeons are … 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

Cataract Quiz: Zonular Dehiscence

Our guest surgeon is Dr Willie Kan from Malaysia and he presents a very tough case: a traumatic white cataract … More

Cataract Quiz: Why did this happen?

Looking at this picture, the pupil dilation went from 5 mm in diameter to 10 mm in diameter in just … More

Cataract Quiz: Why did the trypan do this?

Cataract Quiz: Why did the trypan blue dye do this? Why is the staining so odd looking? Why is the … More

Cataract Quiz: Where is the hidden piece?

Time for another cataract quiz — look carefully at the photo above. Where is the nuclear fragment hiding? And how … More

Cataract Quiz: When did the break happen?

This patient has a relatively dense cataract and requires a toric IOL for 2 diopters of regular corneal astigmatism. When … More

Cataract Quiz: What should you do?

What are these dark spots seen in the red reflex as you are about to start cataract surgery? What do … More

Cataract Quiz: What happened here?

Our quiz features a video from Gustavo Hüning, MD, MBA from Brazil and it shows an unusual situation that happens … More

Cataract Quiz: Trapped Air Bubble

We have a great learning case from Dr. Xiaogang Wang from Taiyuan, China with a surgical challenge. This patient has … More

Cataract Quiz: many small opacities

Quiz time! You are doing what seemed like a routine cataract case and then you see many small opacities in … More

Cataract Quiz: slight peak of pupil

This is a very subtle sign — look carefully at the picture. In the sub-incisional area, there is a slight … More

Cataract Quiz: Why did the capsule rip?

This resident surgeon recently experienced quite a surprise: when he injected viscoelastic at the beginning of the surgery, the anterior … More

Cataract Quiz: Why is the cornea cloudy?

This is a routine cataract surgery case. It is very efficient and a minimal amount of ultrasound energy is used … More

Cataract Quiz: Argentinian Flag Sign

Cataract Quiz: How can you prevent the dreaded Argentinian flag sign now? White cataracts can pose a challenge when performing … More

Quiz: Why are there two main incisions?

Cataract Quiz: Why are there two phaco incisions in this eye? This is a routine cataract surgery and the case … 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

Cataract Quiz: Why shift the capsulorhexis?

Looking at the picture above it seems like the capsulorhexis has been shifted nasally: it is much closer to the … More

Anterior Capsule Rips Uncontrollably

Quiz time: What do you do when the anterior capsule rips uncontrollably in a young patient who is scheduled to … More

Quiz: Should I have used a pupil ring?

This is a tough case and the pupil is smaller than I expected. Should I have used a pupil expansion … More

Cataract Quiz: IOL with capsule tear

Cataract Quiz time: you have removed the lens nucleus and the cortex and you see that the anterior capsular rim … More

Cataract Quiz: Which direction for capsulorhexis?

In this Cataract Quiz we have a patient with a white cataract and as we start to tear the capsulorhexis, … More

Cataract Quiz: Chopper breaks zonules

The resident surgeon has good hands and is talented, but like all new surgeons, he is lacking in experience. The … More

Cataract Quiz: Rescue this Rhexis!

For this Cataract Quiz we have guest surgeon Dr. Naveen Gopal from Bangalore, India showing us a tough case that … More

Cataract Quiz: Why did this IOL decenter?

The patient underwent a combined cataract surgery with pars plana vitrectomy. The cataract surgery went well and even today, 1 … More

Cataract Quiz: When did the bag break?

In this anonymously submitted resident video, there is a break in the posterior capsule during cataract surgery. With the assistance … More

Cataract Quiz: Where should you make the incision?

Our phaco incisions will induce an astigmatic change in the cornea and we can use that to help achieve a … More

Cataract Quiz: What happened here?

Look carefully at this picture: what do you see? There is a three-piece IOL in the sulcus and there is … More

Cataract Quiz: What is hidden in this pic?

Look carefully! There is something that needs to be addressed in this picture — it is not easy to see, … More

Cataract Quiz: The chop failed. Now what?

Even for expert cataract surgeons, sometimes the attempt at phaco chop fails. This can be due to many reasons and … More

Cataract Quiz: Why did we get bleeding here?

In this resident case, the IOL is in the capsular bag, the capsulorhexis is intact, the viscoelastic has been removed … More