Yesterday we featured a video (1808) from a highly experienced cataract surgeon (the father) who did a horizontal chop technique … More
Category: routine cases
1808: father vs son challenge – the father
Ophthalmology, particularly cataract surgery, is such an amazing field that it is relatively common to see generations of eye surgeons … More
1702: capsule polishing or vacuuming?
Believe it or not, cleaning the undersurface of the anterior lens capsule was not always considered a requirement for a … More
1692: tailor your technique to your population
I am a strong advocate of learning all different techniques of phaco and nucleo-fractis because I want to have all … More
1687: ensuring capsular overlap of optic
In cataract surgery we are taking out a 4 to 5 mm thick human crystalline lens and replacing it with … More
1590: flip & chop and clear corneas
This is a complete cataract case, shown start to finish, of a routine cataract surgery using the flip and chop … More
1565: hesitant to perform flip and chop?
Multiple CataractCoach.com subscribers have emailed me to ask for pearls for success with phaco flip and chop. They have some … More
1548: skill level after 2000 surgeries
We have previously discussed the surgical learning curve with a detailed explanation how the beginning part of the curve is … More
1519: tilt and chop is efficient and safe
This is a complete cataract case, shown start to finish, using the tilt and chop technique. This is like the … More
1451: Quiz: Where is the lens fragment?
A retained lens fragment is common in cataract surgery because we are breaking up the cataract into many smaller pieces … More
1446: taking pride in your routine surgery
Routine surgery is probably 90% of what you perform every week in your operating room (or operating theatre), but sometimes … More
1443: the nucleus just will not rotate
This is a seemingly routine case, shown start to finish, where I find it challenging to rotate the nucleus despite … More
1442: this nucleus is denser than it looks
This is a complete cataract case, shown start to finish, of a patient seen in my private clinic. At the … More
1431: this is why I just need one chop
For routine cataract cases, I can perform just one phaco chop to split the nucleus into two halves and then … More
1428: can you achieve this by case 1000?
If you are subscribing to our daily email from CataractCoach, then you are already passionate about being an expert cataract … More
1406: doing both cataract & retina surgery
Our anonymous surgeon sent in this video asking for a critique of this cataract surgery. It is a good routine … More
1364: benchmark for resident case 100
There is no doubt that cataract surgery is very difficult to learn. Learning intra-ocular surgery is likely the most difficult … More
1336: behind the scenes: inside my OR 2
In this video I am showing the microscope view of the cataract surgery that was performed in video 1335. If … More
1312: focus on what is important
After a long day of surgery, I was telling a friend that I felt exhausted. And he remarked that since … More
1311: routine case with moderate density
Don’t be fooled into thinking that there is not much to be learned from watching a routine cataract case. As … More
1309: 90% of your cases are routine
I enjoy performing routine cataract surgery as much as challenging or unusual cases. There is a beauty and elegance in … More
1288: the subtleties of efficient surgery
Becoming efficient in the operating room is not easy and it takes years to truly hone your craft. Remember that … More
1223: how to set up your phaco machine
The surgeon is the captain of the operating room and must know everything about the case and instrumentation. While we … More
1207: soft PSC cataract technique
This a complete cataract case, shown start to finish, for a young patient (age is early 30s) who has an … More
1193: learning vertical chop phaco
Our guest surgeon today shows us a very nice vertical chop technique. This works well if the nucleus has a … More
1190: guide for learning stop-and-chop
Not every ophthalmologist becomes proficient with phaco chop during residency training and that is acceptable since it can be learned … More
1169: surgery for a cataract surgeon
It is always a pleasure to do cataract surgery for a fellow cataract surgeon. This is the highest compliment that … More
1166: learn the phaco flip technique
In our Complete Cataract Case series, we present the technique of phaco flip. This is a great technique for a … More
1165: routine pseudo-exfoliation case
From our Complete Cataract Case series, this is a video of a patient with pseudo-exfoliation syndrome which can make the … More
1164: routine phaco chop complete case
From our Complete Cataract Case series, this is a video of a routine phaco chop case. It is not cherry … More
1159: Pre-Chopper Technique
The pre-chopper is an instrument that can be used to split a cataract prior to inserting the phaco probe. It … 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
1148: surgical skills at case 2000
This is a routine case performed by a surgeon who has done 2000 cataract surgeries. The technique here is excellent … More
1137: too soft to chop, so tumble it
If you know a variety of different phaco techniques, it is easy to switch gears and shift to something that … 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
1099: some amazing surgical pearls
With CataractCoach, I am sharing everything that I have learned or figured out during the past 25 years in ophthalmology. … 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
1094: The Key to Phaco Flip & Chop
Flip and chop is a great phaco technique for a lens nucleus of moderate density. In a very safe and … More
1089: Try the CataractCoach Challenge
Take the CataractCoach challenge: perform a cataract surgery while keeping the light reflex (Purkinje image) in the central zone of … More
1087: how to perfect your case
In this complete cataract case, we are going to slow it down a bit and show you the subtleties that … More
1074: Angle sweep at the end of phaco
While we need viscoelastic to perform a safe cataract surgery, we do not typically want to leave this OVD inside … More
1072: epi-nucleus removal technique
In cases where we perform hydro-delineation and we have a separate epi-nuclear shell to remove, what is the best technique. … More
1054: complete case: why we chop
You know that I’m a big fan of the phaco chop technique for nucleus disassembly during cataract surgery because it … More
1039: complete case: surgeon control
This is a complete cataract case, shown from start to finish, with me as the surgeon. While many of the … 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
1028: Keys to Cataract Surgery Efficiency
If you have performed fewer than 10,000 cataract surgeries, you are still in the part of the learning curve where … More
1019: from one chop to the next
This complete cataract case shows how we move from the first chop to the next in order to efficiently break … More
1018: the many uses of the chopper
The phaco chopper instrument does more than just chop the nucleus. We use it to pull nuclear pieces out of … More
Routine Cataract Case for Myopic Patient
Complete Cataract Case: the entire surgery is shown from start to finish, but don’t fret, it is still just a … More
Soft Chop technique for soft cataracts
With the amazing results from modern day cataract surgery, many patients are electing to experience the benefits of pseudophakia when … More