Even though our equipment is very reliable (and very expensive), no device is absolutely infallible. And in this case the … More
Category: resident surgeons
1963: inadvertent zonular dehiscence
Iatrogenic complications are tough because we blame ourselves for the sequelae of damaging delicate tissues. In this photo you can … More
1955: resident misses the Smoke Sign!
You must know what the Smoke Sign is and you must be able to react to it instantly. You can … More
1941: excellent resident horizontal chop
This resident surgeon presents case 250 which features an excellent phaco chop technique. This resident has obviously spent much time … More
1940: resident learns vertical combo chop
The first thing that catches your attention in this picture is the large pterygium. And I agree that a more … More
1939: resident learning horizontal chop
This resident is learning horizontal phaco chop early in residency and this is case 50 from this young surgeon. The … More
1927: should residents learn femto laser?
Many studies have shown that there is little to no benefit to using the femtosecond laser for routine cataract surgery, … More
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
1915: junior resident case takes 30 min…
This junior resident case takes about 30 minutes from start to finish. In our review of this case, we have … More
1901: senior resident stop-and-chop
It’s July and that means our senior residents (PGY4 in the USA) and busy climbing up the cataract surgery learning … More
1894: video contest 1st: traumatic cataract
Our first place winner for the video contest presents a very tough traumatic cataract case. This is a case that … More
1893: video contest 2nd: learning from mistakes
Our second place winner in the video contest presents a compilation of complications that were encountered during the journey of … More
1892: video contest 3rd: punctured capsule
Looking at the title picture should make you quite a bit uncomfortable because you still have most of the nucleus … More
1891: video contest honorable mentions p2
Today we feature two more videos from our contest, both of which received an honorable mention. These videos deal with … More
1890: video contest honorable mentions p1
This week we will feature the winners from our recent video contest. Remember that these were limited to 3 minutes … More
1884: Lefty’s 25th solo cataract case
Whether you are right or left handed, the rules and challenges of cataract surgery are the same: safely remove the … More
1883: new surgeon’s third solo case
Now this is not the third time that this resident surgeon has scrubbed and participated in a cataract surgery. This … More
1881: your first solo phaco case of residency
Today is July 1 and that is the first day of the new academic year in the USA. For senior … More
1871: the posterior capsule just ruptured…
It happens to ALL cataract surgeons: the posterior capsule ruptures and there is vitreous prolapse while cataract material is still … More
1840: PodCast 10: Fasika Woreta MD MPH
Dr Fasika Woreta is a professor at the Wilmer Eye Institute at Johns Hopkins University in Baltimore, Maryland, USA and … More
1838: the easy way to learn phaco chop
There is some resistance among surgeons to learn a new technique because of the learning curve. For surgeons who are … More
1821: Are you ready for prime time?
If you are a young surgeon nearing the end of your training in the USA or Canada, you will be … More
1811: triple procedure: PKP + CEIOL
The term triple procedure is a little misleading because it is two surgeries: corneal transplantation and cataract surgery. The triple … More
1806: left-handed resident breaks the bag
Let me be the first to say that it is perfectly fine for a surgeon to be left handed. Surprisingly, … More
1796: your first femto laser phaco case
We have a whole section devoted to femtosecond laser cataract cases and we both know that it is not a … More
1783: resident week: Why the bleeding?
When you are in residency training, you must learn the knowledge of ophthalmology and the hands-on skills such as surgery, … More
1782: resident week: cystotome rhexis
The simple bent needle, also called a cystotome (or cystitome for the alternate spelling) can be used to create the … More
1781: resident week: posterior sub-capsular
For this resident case there is an extensive posterior sub-capsular cataract which is causing poor vision, decreased acuity, and tremendous … More
1780: resident week: pseudo-exfoliation
Continuing with resident week, we present a case of pseudo-exfoliation (PXF). There is a spectrum of disease when it comes … More
1779: resident week: nice chop but…
The next case in our resident week series is a routine case where this US senior resident is learning phaco … More
1778: resident week: needle decompression
This week we will feature resident cases submitted anonymously from surgeons in training from around the world. Today’s case is … More
1771: further progression of surgical skills
When I saw case 25 from this resident (link here) I was amazed at his skill level and just how … More
1752: resident’s 3rd horizontal chop
Last week in video 1747, we showed you this same resident surgeon’s first case of horizontal chop and it went … More
1747: A resident’s first phaco chop case
The advantage of residency training is that a seasoned attending ophthalmologist is sitting right next to you, giving advice, teaching … More
1746: resident case 100 analysis
Time for some group learning and this young surgeon (and other beginning surgeons) need your input and advice. This is … More
1742: PodCast #3: Resident Eye Surgeons
This is an amazing podcast with three senior ophthalmology residents from the UCLA Jules Stein Eye Institute (Gio Campagna MD, … More
1726: resident stop and chop case 200
Stop and chop is an important technique to learn during residency and even if you move on to a chop … More
1719: Crater Chop Technique
This resident cataract surgery case shows the crater chop technique where a central section of the nucleus is bowled out … More
1710: this radialized capsulorhexis is stuck
This resident is just hitting his/her stride and has done more than 100 cataract surgeries at this point. This started … More
1708: why did this nucleus drop so fast?
This resident case started out pretty well with a good incision and then an intact capsulorhexis, but then things quickly … More
1691: IOL haptic tears posterior capsule
Another tough case today: as this resident implants a three-piece IOL, the leading haptic is twisted and the sharp tip … More
1683: resident case 78 – what needs work?
In many surgical fields studies have shown that surgeons in training who have a history of video game playing tend … More
1681: your advice for this young doctor
Time for a group effort from out CataractCoach fans: this young surgeon has submitted case 100 and asks for our … More
1663: resident fixes synechiae small pupil
This small pupil case has a surprise in store for you. The patient has a history of prior uveitis which … More
1657: six mistakes young surgeons make
These key lessons are so important that I have made a new updated video for the current crop of young … More
1656: a really tough case for a resident
For any cataract surgeon this is a tough case: 94 year old patient (nonagenarian), short axial length, shallow anterior chamber, … More
1654: this capsulorhexis will radialize
Looking at this picture, the capsulorhexis appears to be proceeding well. It is round and intact and the resident is … More
1648: cystotome needle decompression
This resident surgeon does a great job on this white cataract case where he performs needle decompression of the intumescent … More
1641: the keratome just cannot penetrate
This is a case from a resident surgeon who is learning cataract surgery. And the big initial challenge is making … More
1638: surprise zonular weakness
This resident surgeon does a good job with this tough case of a traumatic cataract. The intumescent liquefied lens cortex … More