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

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: 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: 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: 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