1384: four short videos with great pearls

Today we present four short videos with great surgical pearls. I am sure that you will learn something new and … More

1383: Descemet Detachment Mystery

I need your input to determine when this surgeon is getting / causing a Descemet detachment during cataract surgery. This … More

1382: hyper mature cataract MSICS

In an eye with a truly dense, hyper-mature cataract, MSICS (manual small incision cataract surgery) can be a better option … More

1378: young surgeon chop technique

The young surgeon featured in this video does an excellent job of performing phaco chop in this routine cataract case. … More

1365: suture fixated Cionni Ring (CTR)

This patient sustained ocular trauma which resulted in a traumatic cataract and loss of about 5 to 6 clock hours … More

1362: keratome to start the capsulorhexis

Our guest surgeon has an interesting technique where he uses the keratome to start the capsulorhexis. This saves a step … More

1361: dislocated microspherophakia

While microspherophakia is a relatively rare condition, we have featured it here previously including a resident case. This case is … More

1360: cross chop technique

I enjoyed watching this video where our guest surgeon performs a technique that he calls swift chop. What’s interesting about … More

1359: pupil stretch without iris damage

We can stretch the pupil using two hooks in order to enlarge a small pupil for cataract surgery. But how … More

1350: deep scerlectomy visco trabeculotomy

With the move towards more MIGS procedures (MIGS = minimally invasive glaucoma surgery), the ab externo approach to opening Schlemm’s … More

1348: pupil stretch, toric IOL, steroid implant

Our guest surgeon Dr Himani Goyal does a masterful cataract surgery for this monocular patient. We are showing the entire … More

1334: cataract surgery under 3 min but…

This anonymous surgeon is very talented and has done thousands of cataract surgeries. This surgeon is able to complete his … More

1326: operating through a small pupil

Our guest surgeon is highly talented and from watching this surgery, I suspect has done many thousands of cataract surgeries. … More

1323: USA surgeons must learn MSICS

Ophthalmology residency training programs have changed over the past two decades in the way that cataract surgery is taught. Twenty … More

1308: corneal tattoo for cosmetic benefit

Corneal tattooing is sometimes used to help block light that enters a peripheral iridotomy and causes dysphotopsias. That is usually … More

1301: dense cataract divide and conquer

The divide and conquer technique is a tried and true method for nucleo-fractis. It works well in a variety of … More

1298: cortical cleaving hydro-dissection

This video shows the technique of cortical cleaving hydro-dissection which we have previously covered. This involves using the fluid wave … More

1296: senior resident case 50 critique

I admire the resident surgeon who submitted this video. S/he cares so much about surgical development of skills that the … More

1292: trabeculectomy glaucoma surgery

While cataract surgery alone helps to lower intra-ocular pressure in glaucoma patients (in fact, in all patients), it is sometimes … More

1290: uveitic cataract with synechiae

Our guest surgeon presents a patient with a long standing history of uveitis who has developed an opaque cataract. In … More

1289: how to re-center a Yamane IOL

The Yamane technique for fixation of a three-piece IOL to the sclera is a good option for a posterior chamber … More

1276: audio clues from phaco machine

Your phaco machines makes all sorts of musical sounds when you are operating in order to give you real-time feedback … More

1275: phaco + glaucoma seton surgery

This video combines cataract surgery with placement of a glaucoma seton drainage device. It shows the technique of creating a … More

1273: that’s not cortex being aspirated…

This is a good learning case, and I am thankful to Dr Amar Kulkarni for submitting it. We see zonular … More

1269: chandelier lighting for a tough case

This is an extremely challenging cataract case because the view is so limited due to the corneal status. There is … 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

1266: manual CTR insertion

For cases of zonulopathy, particularly for focal zones of zonular weakness or absence, using a capsular tension ring (CTR) can … More

1264: Yamane IOL fixation step-by-step

Our guest surgeon, Dr Utku Limon from Turkey, does a great job of performing the Yamane IOL fixation technique where … More

1263: double hook pre-chop technique

Our guest surgeon, Dr Érico Jun Oda from Brazil, does a great job with this surgery. Using just two hooks … More

1262: cataract after intra-vitreal injection

In previous videos, we have warned against the issue of an intra-vitreal injection inadvertently hitting the lens capsule and causing … More

1254: intra-nuclear stone formation

This patient has suffered from a dense white cataract for many years. During that time the lens cortex became liquefied … More

1236: IOL exchange & Yamane technique

The Yamane technique for IOL fixation to the sclera is an innovative way to secure a three-piece IOL in the … More

1234: posterior polar cataract surgery

Posterior polar cataracts have a developmental defect at the center of the posterior capsule. This means that at the site … More

1232: traumatic loss of zonular support

This patient sustained severe ocular trauma that resulted in loss of more than 180 degrees of zonular support. He has … More

1231: the many uses of viscoelastic

Viscoelastics (also called OVDs: ophthalmic visco-surgical devices) are critically important to successful cataract surgery. We can use them in many … More

1229: IOL exchange & Soemmering Ring

This patient had cataract surgery years prior with significant intra-operative complications. The posterior capsule was ruptured and a sulcus IOL … More

1222: traumatic cataract capsule fibrosis

Our guest surgeon has a very interesting case to share. This patient sustained a traumatic injury many years ago and … More

1211: white cataract drops into vitreous

Our guest surgeon presents a case of a surprise complication when the white cataract falls into the vitreous cavity. He … 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

1203: Resident’s 200th cataract surgery

In this video we are critiquing an anonymous resident surgeon’s 200th cataract case. I will be doing the voiceover the … More

1173: phaco aspiration of lens milk

Intumescent white cataracts can pose a problem with capsulorhexis creation. This is because the cortex has liquefied and pressurized the … More

1168: rescue this descemet’s detachment

Descemet’s membrane is very delicate and it can become detached during surgery. The usual entry site is from one of … More

1163: phaco behind the corneal scar

When a corneal scar limits the visualization, how can you still complete the cataract surgery in a safe manner? And … More

1162: resident posterior capsule rupture

This resident experiences a posterior capsule rupture during phaco and there is still a lot of nuclear lens material in … More

1161: IOL rescue suture fixation

Twenty years ago, the most common method of suturing an IOL to the sclera was using 10-0 prolene and a … More

1159: Pre-Chopper Technique

The pre-chopper is an instrument that can be used to split a cataract prior to inserting the phaco probe. It … More

1158: adjusting the red reflex

The two primary illumination sources on your microscope are coaxial and paraxial. We have previously explained the differences in the … More

1157: Malyugin ring rips the lens capsule

This video shows a complication that I have never seen before: insertion of the Malyugin pupil expansion ring inadvertently rips … More