Just like the aperture (f stop) matters for taking photos with a camera, the pupil size plays a large role … More
Category: review
1961: review of limbal relaxing incisions
As an ophthalmic surgeon, you promised yourself that you would learn to perform limbal relaxing incisions (LRIs) to help address … More
1960: nonagenarians with pseudo-exfoliation
We have previously featured videos about cataract surgery in nonagenarians and we know that after the age of 90, the … More
1946: Review of Nanophthalmic Cataracts
Nanophthalmic eyes are very small with a short axial length of less than 20 mm. This makes the cataract surgery … More
1829: top 5 pearls for presbyopic IOLs
Presbyopic IOLs, primarily trifocal designs, can make patients very happy. However there are some important considerations in order to achieve … More
1828: review of efficiency in the OR
We recently had an entire week of videos devoted to the topic of efficiency in the operating room. And our … More
1827: review of techniques for white cataracts
This video is a compilation showing highlights from previous videos in order to review the techniques for white cataracts. We … More
1699: Top 5 videos of 2022
Today is New Year’s Eve and we are going to review the top 5 videos of 2022. You can see … More
1649: phaco wound burns
This video is critically important, especially for younger surgeons, because a phaco wound burn is a complication that happens more … More
1545: floppy iris syndrome management
Floppy iris syndrome is routinely encountered by all cataract surgeons and it can be quite challenging to effectively manage. This … More
1352: capsular tension rings: when & how
This is my presentation for today, Tuesday, January 18, 2022 at the Hawaiian Eye Meeting and it is a concise … More
1351: techniques for white cataracts
This is the talk that I am giving today, Monday, January 17, 2022 at the Hawaiian Eye meeting. It’s a … More
1321: challenging cataract cases keynote
I was recently honored with another named, keynote lecture. This invitation was from the Hyderabad Ophthalmologists’ Association to give the … More
1293: compilation video: sulcus IOL
This is a compilation video, about 10 minutes in length, where we review the important concepts of sulcus IOLs. We … More
1153: is femto laser phaco better?
Despite more than a decade of use and hundreds of published papers, there is still some controversy as to the potential … More
Playlist: toughest cases of 2020
After reviewing the surgical cases from 2020, I have chosen four tough cases to present here. Two of the cases … More
Top CataractCoach videos of 2020
As the year comes to an end, we have succeeded in making a new CataractCoach video/post for every day of … More
Playlist: a new feature for learning
a new feature: Playlists to give suggested videos for review
Not all white cataracts are the same
All white cataracts are not the same. They can run the spectrum from soft to very dense, with a variable … More
Review: Uveitis, Glaucoma, Cataract
Cataract surgery in an eye with uveitic glaucoma Stepwise approach to surgical success Cataract surgery in eyes with small pupils … More
Review: Career Paths for Surgical Learning
The path to learning surgery is a long and challenging one. True success requires years of dedication and the passion … More
compilation video: perfecting your surgery
The difference between good and great may appear subtle to outsiders, but for ophthalmologists like us, these details are very … More
compilation video: suture-fixated IOLs
This video features all sorts of suture-fixation techniques for securing IOLs in cases where there is limited or no capsular … More
compilation video: dense cataracts
This compilation video features the best of many prior videos regarding dense cataract techniques. The video has many clips which … More
Compilation video: Corneal Phaco Incisions
We are starting a new feature here on CataractCoach: the compilation video, where we combine the best of many prior … More
Review: Yellow versus Clear Optics
There has been much debate about the light transmission properties of various IOL optic designs. While most IOLs have a … More
Review: Management of Iris Prolapse
In this resident performed surgery, we encounter iris prolapse after too much hydro-dissection. This results in the iris prolapsing out … More
Review: 4 quadrant chop-and-conquer
Many ophthalmologists in training start out by learning the four quadrant divide-and-conquer technique, which has a long history of being a … More
Review: Sealing Phaco Incisions
A properly constructed phaco incision will allow good access to the anterior chamber for cataract surgery and then will seal … More
Review: Slow Motion Phaco Chop
In the course of giving lectures across the USA and around the world, I meet many experienced ophthalmologists who find … More
Review: Soft-Shell OVD technique
The Soft-Shell Technique for viscoelastic use in cataract surgery was developed by Dr. Steve Arshinoff as a method of getting the best … More
Review: if the bag shallows during cortex removal
The irrigation / aspiration probe is placed in the eye and we begin cortex removal. But as we try to … More
Review: Surgical Peripheral Iridotomy
here are times when you will need to make a surgical iridotomy either during cataract surgery or as a stand-alone … More
Review: Double Capsulorhexis for White Cataracts
Intumescent white cataracts pose a challenge because the lens cortex has degenerated so much that is has liquefied. This creates … More
Review: fixing beginner mistakes
Learning intra-ocular surgery is not easy and it can take years just to be comfortable with just the basics. Look … More
Review: capsule attachments with femto-laser
This young patient (about 40 years old), developed a white cataract which has severely impaired vision in this eye for … More
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
Review: Optimizing Cycle Time Efficiency
Establishing a consistent routine in the operating room is the key for both increased efficiency as well as increased safety. … More
Review: The Angle of Approach for Incisions
The angle of approach of the keratome will determine the tunnel length of our phaco incision. If the angle is … More
Review: Small Eye with high power IOL
Cataract surgery can provide an incredible refractive result, particularly for small eyes which are highly hyperopic. We can correct 10 … More
Review: Chopper protects the capsular bag
We work in a very tiny space of just a fraction of a milliliter: the volume of the anterior chamber … More
Review: Embed the phaco tip without ultrasound
This review is particularly important for ophthalmologists who do cataract surgery for patients with mild to moderate nuclear density. This … More
Review: IntraCameral Medications
Putting medication directly into the anterior segment of the eye can be very effective. There are many different medications that … More
Review: Rule of 9s for Sulcus IOL Power
With newly developed methods of IOL power calculation, we are approaching 90% or higher accuracy of achieving +/- 0.5 D of … More
Review: Why LRIs should be done at the end
Limbal relaxing incisions (LRIs) are useful for treating mild to moderate degrees of corneal astigmatism at the time of cataract … More
Review: Differentiating White Cataracts
You’ve seen the notation in the patient chart: “DWC” which stands for Dense White Cataract, but there is actually a spectrum of cataracts … More
Review: Dispersive vs. Cohesive Viscoelastics
Viscoelastics, also referred to as OVDs (ophthalmic visco-surgical devices), are viscous substances that allow us to make phaco-emulsification easier and … More
Review: Why is Phaco Chop not working?
This patient certainly needs cataract surgery because the dense nucleus has a large degree of central opacity and that has … More
Review: Pseudo-Exfoliation Cataract Surgery
Pseudo-Exfoliation / Small Pupil / Weak Zonules / Shallow AC (watch video below) A sweet 80 year old patient comes … More
Review: Phaco Incision OCT Analysis
The phaco incision is part of your signature which links you to the patient’s eye forever. Your incision will forever be visible … More