In this case the posterior capsule ruptures during hydro-dissection. With a wide open posterior capsule, the nucleus starts to descend … More
Category: reader submissions
1151: white cataract and uveitis synechiae
This patient has a long standing history of uveitis which has resulted in synechiae between the iris and the anterior … More
1150: white cataract with iridoplasty
This patient was undergoing cataract surgery by a novice surgeon who ran into trouble right at the beginning of the … More
1149: posterior capsulorhexis technique
There are times when it is helpful to perform a posterior capsulorhexis. This is a tricky maneuver because it opens … More
1147: white cataract & damaged IOL
This intumescent white cataract case becomes even more challenging when the IOL was misloaded by the surgical tech and the … More
1144: white cataract intra-capsular surgery
Decades ago the standard cataract surgery was an intra-capsular cataract extraction. This involved making a large incision, injecting alpha chymotrypsin … More
1143: why such a tiny capsulorhexis?
This is the double capsulorhexis technique which is a great choice for intumescent white cataracts. In these types of cases, … More
1140: IOL punch for suture fixation
There are many different techniques for suture fixation of an IOL to the sclera: Yamane, Canabrava, Gore-Tex, belt loop, and … More
1135: IOL cutting for IOL exchange
Our guest surgeon is Jeff Whitman MD from Dallas, Texas, USA who shows us his technique for IOL exchange. While … More
1130: Pupil Expansion with B-Hex Ring
If you really want to be honest with yourself, you will agree that the B-Hex pupil expansion ring is amazing. … More
1129: exposed and eroding IOL sutures
The best placement of an iOL is in the capsular bag. That is the end of the story. There are … More
1126: the IOL is stuck in the incision
When we move to smaller phaco incisions such as 2.2 mm or 2.4 mm wide, we accept that we will … More
1121: how it started… how it’s going…
There is so much to be learned from this case. The patient has advanced diabetic retinopathy and a significant cataract. … More
1120: make sure the IOL is centered
We want the IOL optic and the capsulorhexis to both be centered. This is especially important for multifocal IOLs and … More
1105: Using the Power Pre-Chopper
The Ultra-chopper was designed by Dr Luis Escaf in order to penetrate a very dense nucleus to chop a cataract. … More
1103: Pre-Chopper Technique
Pre-chopping means that we are splitting the nucleus into half or quadrants prior to inserting the phaco probe into the … More
1101: Infant Lensectomy Technique
While congenital cataracts are rare, they must be identified very early in an infant’s life and then often surgically treated. … More
1098: Quad Camera Angles in surgery
This video was sent to us from Dr Felipe Ribeiro and Dr Andre Berger from Brazil and it features the … More
1096: converting from phaco to ECCE
There are rare times when it becomes important to convert from phaco to manual extra-capsular cataract extraction. This is one … More
1092: Traumatic Cataract Zonular Loss
Our guest surgeon Dr Vipul Arora from India presents a case of a traumatic cataract with sectoral zonular loss. This … More
1091: Dense Cataract and Nystagmus
Our guest surgeon is Dr Érico Jun Oda from Brazil and he demonstrates an expert level cataract surgery in a … More
1084: toric planning for high astigmatism
Our video today showcases the surgical planning for this patient with a high degree of corneal astigmatism. We will go … More
1082: release of posterior synechiae
Our guest surgeon shows us his technique of using a spatula to release the posterior synechiae in this eye with … More
1081: if you need iris hooks, use them
Our guest surgeon shows us a case that really benefits from using iris hooks. This video goes into the details … More
1070: Posterior Polar Cortical Cleaving
I really enjoy watching surgical videos from Dr. Neto Rosatelli from Ribeirão Preto, Brazil because he mixes his high degree … More
1068: sutured capsular tension segment
This patient was born with a lens coloboma where part of the crystalline lens did not develop and there is … More
1067: Phaco and iStent Glaucoma device
Cataract surgery alone tends to lower intra-ocular pressure by as much as 25%, which is particularly helpful for patients with … More
1052: Spiral Out Capsulorhexis
Our video features a young and talented surgeon, Dr Priyanka Pantola from Kanpur, UP, India and she is showing us … More
1049: four flanged IOL suture fixation
We have seen a lot of innovation with regards to IOL fixation to the sclera. There is the Yamane technique … More
1046: fixing anterior capsule fibrosis
Our usual way of dealing with fibrosis of the anterior lens capsule is to use a sharp instrument such as … More
1045: suturing the IOL to the CTR
Our guest surgeon is Dr. Val Apostolov from Amsterdam and he demonstrates a technique that I have never seen before: … More
1044: sutured capsule support device
Our guest surgeon is Dr. Atul Khadane from Amravati, India and he demonstrates the use of the Assianchor (developed by … More
1043: intra-vitreal injection punctures lens
The most commonly performed ocular invasive procedure performed in the USA is the intra-vitreal injection, with many millions done per … More
1040: White Cataract Double Rhexis
Our guest surgeon is Dr. Manbir Singh from India and he is showing us a dense white cataract case with … More
1038: Recurrent Pterygium Surgery
Removing a pterygium from a virgin eye that has not had prior surgery is relatively straightforward. The pterygium can be … More
1035: First year in practice cataract
In keeping with our theme of learning from the cataract surgeries of young surgeons who are at the beginning of … More
1030: Your Surgical Skills at Case 300
Where should your surgical skills be after 300 cases? We have previously explained the learning curve for cataract surgery and … More
1029: First year in practice Cataract
Our guest surgeon showcases his stop-and-chop nucleo-fractis in a routine cataract surgery and his technique is excellent. He finished his … More
1026: suturing the IOL to the iris
Our guest surgeon shows us his technique for suturing an IOL to the iris in a patient with long-standing peudo-exfoliation … More
1025: Soemmering’s Ring Extraction
Our guest surgeon, Dr Val Apostolov from Amsterdam, is a frequent contributor to CataractCoach and today he shows us a … More
1024: SICS for uveitic cataracts
This is a case of a cataract with extensive synechiae due to prior uveitis. The eye is quiescent now, with … More
1023: Foreign body capsule rupture
This patient sustained a serious ocular injury: a foreign body pierced the cornea, punctured the anterior lens capsule, and now … More
1022: Suprachoroidal hemorrhage
A suprachoroidal hemorrhage is a dreaded complication that can happen with any intra-ocular surgery. We most commonly see it during … More
1011: Opacified IOL Exchange
While it is rare, some IOLs can become opacified with time. This has been reported primarily with hydrophilic acrylic materials … More
1010: Bimanual Phaco Technique
About 15 years ago, bimanual phaco was relatively popular. The idea is that by separating the infusion from the aspiration, … More
1008: Horizontal Chop Technique
Our guest surgeon is Dr Hafidi Zouheir from Rabat, Morocco and he expertly demonstrates the horizontal chop technique for a … More
1001: Ahmed Glaucoma Valve Technique
Our guest surgeon today is Victoria Tseng, MD, PhD who is a glaucoma specialist and professor at the Jules Stein … More
I wish I had this book in residency!
“What your medical school and ophthalmology textbooks can’t teach you, but what your mentors, colleagues, and patients will!” That really … More
Capsular Tension Ring Placement
Our guest surgeon is Dr. Bhagyashri Deshmukh from Amravati, India and she is presenting a traumatic cataract case with a … More
iris claw lens to address aphakia
Another excellent video from our colleague Dr. Val Apostolov from Amsterdam. In this case there is a patient with a … More