1926: resident crater chop technique

The challenge in performing traditional phaco chop is that the probe tip has to hold the nucleus with vacuum while … More

1757: Focus on Efficiency: please help me

This week we have a Focus on Efficiency. Today, a look at an experienced surgeon’s case. An anonymous ophthalmologist with … More

1713: pars plana tap for aqueous misdirection

The key to resolving iris prolapse is to release the pressure gradient and we have covered this topic many times … More

1709: save this run out capsulorhexis

This guest surgeon does a great job of managing this run out capsulorhexis. It extends all the way to the … More

1692: tailor your technique to your population

I am a strong advocate of learning all different techniques of phaco and nucleo-fractis because I want to have all … More

1684: displaced phakic IOL & endo loss

This patient had bilateral phakic IOLs implanted about a year ago to address a high degree of myopia. Now the … More

1678: can you chop with any instrument?

I have said it before, the hands are more important than the equipment. And the technique is more important than … More

1670: traumatic cataract with iris damage

This patient sustained ocular trauma which resulted in a traumatic cataract, zonular loss, iris avulsion, and vitreous prolapse. Now you … More

1668: femtosecond laser fragmentation

We have covered the topic of femtosecond lasers in cataract surgery many times before. Most cataract surgeries performed in the … More

1667: case 2500 small pupil, no ring needed

Many surgeons will see this small pupil and immediate ask for a pupil expansion ring or iris hooks and that … More

1640: anterior capsule plaque peeling

Our guest surgeon presents a case of a dense cataract where the cortical lens proteins broke down and caused a … More

1631: Marfan Case with Yamane IOL

In cases where the surgeon performs Yamane intra-scleral haptic fixation (ISHF) it is recommended that at least a partial anterior … More

1615: micro-cornea and coloboma

This is a very unusual case where the patient has a micro-cornea and also a coloboma with associated zonular absence … 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

1612: retrieval of a lost CTR

When implanting a capsular tension ring, particularly in a challenging case, there is always that tiny fear that it may … More

1610: poly-pseudophakia 2 IOLs in 1 eye

Nanophthalmic eyes are among the most challenging when it comes to cataract surgery. There are additional risks and the working … More

1604: return to the OR for retained lens

A retained lens fragment is a relatively common occurrence after modern day cataract surgery. We are able to use small … More

1601: cataract skills after 1600 cases

Yesterday was video number 1600 which means that we have featured a new video/post every day for the past 1600 … 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

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

1582: Quiz: Why such an odd chopper?

Time for a Cataract Quiz: look at the picture here and tell me, why this surgeon is using such an … More

1579: phaco through small capsulorhexis

The double capsulorhexis technique is very useful for intumescent white cataracts because it allows us to safely decompress the capsular … More

1577: improvement after 100 surgeries

Our anonymous resident surgeon submitted a video of routine cataract surgery which we featured a few months ago as video … More

1576: three techniques of nucleus division

Our guest surgeon today is a young resident from Brazil who sent in a video showing him performing three different … More

1549: cataract surgery in angle closure

Cataract surgery in the setting of angle closure glaucoma is very challenging because the anterior chamber is very shallow, the … More

1528: open globe, failed graft, & cataract

This video is a series of three separate surgeries on the same patient, by the same surgeon, Dr Jimmy Hu … More

1527: resorbed cataract with zonular loss

This patient sustained trauma to his eye years ago and that resulted in a cataract which, over time, became liquefied … More

1498: Wong hydration pocket incision

The Wong hydration pocket incision is an innovative way to help seal a corneal phaco incision. It involves creating a … More

1496: pearls for left handed surgeons

Should you hold the phaco probe in your dominant hand or non-dominant hand? Does it matter if you’re right handed … More

1493: stop-and-chop technique

Our guest surgeon does a beautiful job demonstrating the stop-and-chop phaco technique. We have featured this technique many times before … More

1492: suture the IOL to a prosthetic iris

This patient sustained severe ocular trauma which left the eye aphakic with no capsular support and also significant iris damage. … More

1491: creating a pupil for Axenfeld Rieger

Axenfeld Rieger syndrome is a rare condition where the iris and pupil do not develop correctly in utero and in … More

1490: large Descemet detachment

We all know how delicate the Descemet layer of the cornea is and also how easily it is damaged. Even … More

1489: corneal epithelial bubble

This patient developed a corneal epithelial bubble during cataract surgery. Why did this happen and what should you do now? … 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

1469: open sky cataract surgery

There are times where you will want to perform a combination surgery of full-thickness corneal transplant and cataract surgery at … More

1460: phaco without visco-elastic / OVD

Many decades ago when phacoemulsification was first presented to the world by Charles Kelman MD, no viscoelastic was used during … More

1458: phaco for a patient with tremors

I have previously featured a challenging cataract case for a patient with severe tremors due to systemic neurological disease. In … More

1457: small capsulorhexis leads to trouble

This is another case where the capsulorhexis is about 4 mm in diameter and this causes a complication where the … More

1456: operating through a small rhexis

Keep in mind the dimensions of the typical cataractous lens: about 9-10 mm in diameter and then about 4-5 mm … More

1455: cortex removal before nucleus removal

This video shows something that I have never previously seen before: removal of the lens cortex prior to removing three … More

1427: Let’s critique registrar case #50

This young ophthalmologist in training is a registrar in the UK and s/he has submitted an anonymous video for critique. … More

1421: belt loop technique to secure IOLs

Our guest surgeon, Dr Cathy McCabe from Florida, USA has an innovative way of securing IOLs to the sclera in … More

1408: the posterior capsule is ruptured

Look carefully at the title picture and you will see that the posterior capsule is ruptured and it appears to … More

1399: four simultaneous camera angles

Our guest surgeon is Dr Andre Berger from Brazil and he is an accomplished, expert cataract surgeon. In this video … More