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Cataract Coach™

Cataract Coach™

Professor Uday Devgan MD, renowned Los Angeles cataract surgeon, teaches the Best Techniques for Cataract Surgery. All Content © 2018-2023 Uday Devgan Cataract Coach™

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Category: refractive surgery / refractions

1776: refractive lens exchange for hyperopia

For patients over age 60 with significant degrees of hyperopia, a refractive lens exchange (RLE) tends to be the preferred … More

hyperopia, multi-focal IOL, refractive lens exchange

1750: paired incisions for astigmatism

Doing refractive cataract surgery is becoming the norm with patients desiring correction of refractive errors at the same time as … More

astigmatism, paired phaco incisions

1685: Primer on how to perform LASIK

Best pearls for learning to perform LASIK

LASIK, refractive surgery

1677: cataract surgery & phakic IOL removal

This patient had a phakic IOL placed many years ago for the treatment of a high degree of axial myopia. … More

phakic IOL

1669: Juvene IOL – Grail Study Results

Truly accommodating IOL offers promising results Ophthalmologists have been searching for effective ways to address presbyopia for many decades, particularly … More

accommodation, IOL

1658: IOL calc case study 10: amblyopia

We often have patients with a history of amblyopia who are now presenting for cataract surgery. The cause of the … More

IOL calc case study

1647: do you trust intra-op aberrometry?

The idea behind intra-operative aberrometry is great: measure the eye in the aphakic state and then you can determine the … More

iol calculations

1643: limitations with the Vivity IOL

***I mis-spoke at the 1 min mark: small aperture is more depth of field and longer shutter time. The large … More

alcon vivity, EDOF

1635: Would you do an IOL exchange?

Let’s say that you have a patient who already had cataract surgery more than a year ago. At that time … More

iol exchange, trifocal

1593: this EDOF patient will be amazed

What are the factors for success with EDOF (extended depth of focus) IOLs? How can we ensure that the patient … More

cataract surgery, EDOF

1522: pupil size affects EDOF IOL vision

As surgeons, we know that the refractive outcome for each patient depends on our surgical technique, the calculations, the technology, … More

EDOF, pupil size

1479: ASCRS case 10: topo & tomography

How do you make a surgical plan to correct astigmatism when the keratometer, topographer, and tomographer show differing degrees and … More

1432: high myopia refractive targeting

There is a reason why I recommend that you do NOT aim for a plano outcome in highly myopic eyes. … More

high myopia, myopia cataract, ultra myopia

1429: refractive lens exchange pearls

In my quest to give away every secret, surgical pearl, and useful bit of knowledge that I have acquired over … More

refractive lens exchange, surgical pearls

1426: techniques for SMILE laser vision

Our guest surgeon is an expert in Small Incision Lenticule Extraction (SMILE) laser vision refractive surgery and has performed thousands … More

femtosecond laser, refractive surgery, SMILE

1419: How to reposition a toric IOL

It is now months after the original cataract surgery and you examine your patient and realize that the toric IOL … More

reposition IOL, toric IOL

1357: biometry for trifocal IOLs

The new generation of diffractive trifocal IOLs such as the Alcon PanOptix and the J&J Tecnis Synergy are able to … More

biometry, trifocal

1338: small incision lenticule extraction

Corneal refractive surgery for myopia is done by removing some of the corneal stroma in order to flatten the central … More

refractive surgery

1307: the future of refractive surgery

Cataract surgery is our most powerful refractive procedure and it can correct extreme degrees of hyperopia and myopia, and it … More

refractive surgery

1304: EDOF IOL with Prior RK

You may be surprised when I tell you that I continue to learn more and more from making surgical videos. … More

EDOF, radial keratotomy

1259: OSN NY differing astigmatism

This talk is one of my lectures from the OSN NY 2021 meeting. This is the Ocular Surgery News meeting … More

astigmatism, OSN NY, toric IOL

1258: OSN NY managing capsular issues

This talk is one of my lectures from the OSN NY 2021 meeting. This is the Ocular Surgery News meeting … More

capsular tear, capsule rupture, OSN NY, toric IOL

1255: does rhexis morphology matter?

Does the shape of the capsulorhexis matter? We are accustomed to making a 5 to 5.5 diameter capsulorhexis that is … More

capsulorhexis

1251: re-aligning a toric IOL without OVD

Our guest surgeon, Dr Alex Abdo Martins from Brazil, has a very interesting case for us. This patient has a … More

astigmatism, toric IOL

1227: secrets for radial keratotomy patients

While radial keratotomy (RK) is rarely used as a refractive surgery today, a few decades ago it was very popular. … More

cataract surgery, radial keratotomy, toric IOL

1218: J&J Eyhance versus Alcon Vivity

Many surgeons have asked me to make a video comparing the J&J Eyhance to the Alcon Vivity IOL. I have … More

cataract surgery, EDOF, eyhance, Vivity

1208: center IOLs with Purkinje images

For monofocal IOLs, a small amount of IOL decentration will have a minimal effect, particular in IOLs with low or … More

center the IOL, purkinje

1202: pearls for your first LASIK surgery

It is important to learn LASIK and other forms of refractive surgery during residency training. When I was a resident … More

LASIK, ophthalmology residency

1182: the J&J Tecnis Eyhance IOL

I am thankful to the engineers who continually improve our surgical products through technical advances. These engineers are usually smarter … More

eyhance, IOL, tecnis

1174: picking the right IOL for each eye

We are fortunate to have a wide range of different IOLs to offer our patients. We have bifocal IOLs, trifocal … More

panoptix, right IOL, Symfony, Synergy, Vivity

1136: Refractive Lens Exchange Surgery

For high degrees of hyperopia in presbyopic patients, the best surgical solution is refractive lens exchange. For a younger patient, … More

hyperopia, refractive lens exchange

1075: Can I use EDOF with eye disease?

I am frequently asked if the new class of EDOF (extended depth of focus) IOLs can be used in eyes … More

EDOF

1063: Who is the ideal trifocal patient?

Of course, it goes without saying that you must have a normal cornea, retina, and optic nerve to even be … More

trifocal

1062: Playlist: Refractive Issues

The most powerful refractive surgery that we have is cataract surgery. We can address +10 diopters or more of hyperopia, … More

cataract surgery, refractive planning

1056: Let’s talk about my OR cases

Recently, on my usual Beverly Hills cataract surgery day, I had a line-up of a bunch of interesting cases and … More

iol calculations, refractive planning

1050: complete case: Toric EDOF IOL

This patient is a young man, in his 40s, with a history of cataract development over the last few years. … More

EDOF, toric

1037: Trifocal IOL with white cataract

Trifocal IOLs require refractive accuracy. We need to be able to deliver close to a plano outcome without much residual … More

trifocal, white cataract

highly myopic cataract surgery

These are some of the most rewarding cataract surgeries to perform since we can correct the cataract as well as … More

cataract surgery, high myopia

considerations for monocular patients

Monocular patients present a special situation that can differ from a routine case in a patient with two eyes. We … More

cataract surgery, monocular patients

Extended Depth of Focus: Alcon Vivity

We all want to be young again, at least when it comes to vision: visual quality, range of vision, and … More

alcon vivity, cataract surgery, EDOF

refractive lens exchange for hyperopia

This 58 year old patient is highly hyperopic, wearing +8.5 D glasses for distance vision and then +11.0 D glasses … More

panoptix, refractive lens exchange, RLE

Double Phaco Incisions to fix Astigmatism

double phaco incisions for treatment of astigmatism

astigmatism, cataract surgery

PanOptix IOL in a Highly Myopic Patient

most extreme PanOptix IOL power for extreme myopia

extreme trifocal

Incisional Techniques for Astigmatism

Cataract surgery can be our most powerful refractive surgery procedure, correcting high degrees of myopia, hyperopia, and even astigmatism (with … More

astigmatism

choosing refractive targets

Plano is not always the goal It would seem logical that emmetropia is the ideal refractive state of the eye. … More

cataract surgery

Cataract Surgery with prior Amblyopia

The most common causes of amblyopia are related to either strabismus or an untreated refractive error, particularly in one eye … More

amblyopia, cataract surgery

Angle Alpha and Angle Kappa with IOLs

If an IOL has zero power, such as in an extremely myopic patient, where we place it in the eye … More

angle alpha, angle kappa

Cataract surgery & decentered LASIK flap

We frequently have patients with a history of prior LASIK who are now undergoing cataract surgery. We have explained in … More

cataract after lasik

Paired Incisions to fix Astigmatism

This is an easy technique that can be so helpful to all cataract surgeons. By using paired phaco incisions, we … More

#cataract, #cataract surgery

Review: Cataract surgery after prior RK

This patient was very myopic and desired surgical correction many years before the advent of the excimer laser. As such, … More

#cataract, #cataract surgery

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