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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: routine cases

1809: father vs son challenge – the son

Yesterday we featured a video (1808) from a highly experienced cataract surgeon (the father) who did a horizontal chop technique … More

cataract surgery

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

cataract surgery

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

capsule polishing

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

flip and chop

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

capsulorhexis, zepto

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

complete cataract case, flip and chop

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

cataract surgery, efficiency, flip and chop

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

cataract surgery

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

flip and chop, phaco chop

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

cataract quiz, retained lens fragment

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

cataract surgery

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

cataract surgery, complete cataract case

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

cataract surgery, phaco chop

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

cataract surgery, phaco chop

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

cataract surgery, efficiency

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

cataract surgery, retina

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

benchmark, resident cataract surgery

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

cataract surgery, efficiency

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

cataract surgery

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

cataract surgery, phaco chop

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

cataract surgery, complete cataract case, efficiency

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

complete cataract case, efficiency, surgical pearls

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

cataract surgery, phaco machine

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

PSC cataract

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

phaco chop

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

stop and chop cataract surgery

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

cataract surgeon

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

cataract surgery, phaco flip

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

cataract surgery, complete cataract case, pseudo-exfoliation

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

cataract surgery, phaco chop

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

cataract surgery, pre-chop

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

femto laser

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

learning curve

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

soft cataract, tilt tumble

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

cataract surgery, pre-chop

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

cataract surgery, surgical pearls

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

cataract surgery

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

flip and chop

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

cataract surgery, challenge

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

cataract surgery, perfect

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

ovd, viscoelastic

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

epinucleus

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

efficiency, phaco chop

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

complete cataract case, vertical phaco chop

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

stop and chop cataract surgery

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

cataract surgery, efficiency

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

complete cataract case

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

complete cataract case

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

myopia cataract

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

phaco chop, soft cataract

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