This is a complete cataract case, shown start to finish, where I perform the entire surgery and present it to … More
Category: shallow AC
2724: safely manage a shallow capsular bag
Managing a shallow capsular bag during cataract surgery requires delicate technique and strategic planning to avoid complications such as zonular … More
2668: high hyperope with high astigmatism
Cataract surgery in highly hyperopic eyes with short axial lengths and significant corneal astigmatism is technically demanding. The shallower anterior … More
2655: eroding seton, iris prolapse, high IOP
This is a very tough case where a patient previously had an Ahmed Glaucoma Valve seton placed and it is … More
2646: Quiz: Where did the capsule go?
Our guest surgeon Professor Ramesh Ayyala from University of South Florida in Tampa, USA shows us a very challenging case … More
2614: Nanophthalmic with angle closure
Tiny, nanophthalmic eyes are among the toughest cases for cataract surgery. With a very shallow anterior chamber, it is a … More
2548: pars plana vitreous tap for shallow AC
This is a very difficult and challenging case where our guest surgeon does an amazing job and offers so many … More
2527: three very tough monocular cases
Being a cataract surgeon is stressful and every patient demands a perfect outcome. The most challenging cases are often those … More
2474: this is going to be a tough case!
This patient has a small eye with a small pupil, shallow anterior chamber, and pseudo-exfoliation. That will make the case … More
2465: approach to short axial lengths
I enjoy operating on very myopic eyes because there is so much room within the anterior segment of the eye. … More
2438: small pupil, shallow AC, stop & chop
I get emails from viewers asking how to see cases where I am the surgeon operating. This is about as … More
2395: nanophthalmos malignant glaucoma
In this very challenging case, the patient has a nanophthalmic eye with a very short axial length, shallow anterior chamber, … More
2367: nanophthalmic eye challenges
We all love performing cataract surgery on average eyes because we know what to expect: an average IOL power, average … More
2264: small pupil, shallow AC, glaucoma
This cataract surgery patient has a relatively small pupil, a shallow anterior chamber, and glaucoma. Our guest surgeon does a … More
2226: angle gonio before & after surgery
Among the best ways of addressing narrow angles in patients with some degree of cataract development is doing cataract surgery. … More
2147: fix narrow angles with cataract surgery
When we replace the 4.5mm thick cataract with a thin IOL, we open the angle of the eye and solve … More
2095: irido-zonulo-hyaloido-vitrectomy
This patient has malignant glaucoma and to treat that the procedure is IZHV: irido-zonulo-hyaloido-vitrectomy. Here is what our guest surgeon … More
2061: phacomorphic glaucoma, shallow AC
This patient has an intumescent white cataract which has swelled so much that it is pushing up against the iris … More
2059: opaque posterior polar with shallow AC
Studies have shown that 1 out of 3 posterior polar cataract surgeries result in a ruptured posterior capsule. Here’s the … More
2047: small pupil, shallow AC, delicate iris
This is a tough case in a patient with prior synechiae, a small pupil, a shallow anterior chamber, and a … 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
1908: nanophthalmos & decompression
This patient has true nanophthalmos with an axial length of less than 20mm and a calculated IOL power of 67 … More
1900: iris bombata / iris bombé
Iris bombata (or iris bombé) is a condition where posterior synechiae at the pupil margin have completely sealed the posterior … More
1862: nanophthalmic eye cataract surgery
Experienced cataract surgeons know that the most challenging cataract cases are often the nanophthalmic eyes. These tiny eyes have a … More
1748: tiny hyperopic eye & small pupil
Just watching this case is stressful. It is a very small eye with a 20 mm axial length, shallow anterior … More
1731: small eye, shallow AC, high hyperopia
As surgeons, we love it when we can make an incredible improvement in the lives of our patients. An added … More
1717: bilateral phacomorphic glaucoma
This is a very unusual case of bilateral phacomorphic glaucoma where the swollen cataract caused the narrow angles to occlude. … More
1713: pars plana tap for aqueous misdirection
The key to resolving iris prolapse is to release the pressure gradient and we have covered this topic many times … More
1695: why I am doing stop and chop?
If phaco chop is so amazing, then why am I doing stop and chop in this case? Answer is in … 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
1625: aqueous fluid misdirection syndrome
This is my video from the Cataract Spotlight session by Dr David Chang from the American Academy of Ophthalmology 2022 … More
1618: Why did I choose stop-and-chop?
For 22 years, I did a combination of both private practice as well as academics in which I taught the … More
1610: poly-pseudophakia 2 IOLs in 1 eye
Nanophthalmic eyes are among the most challenging when it comes to cataract surgery. There are additional risks and the working … More
1572: solving iris prolapse in a small eye
Our guest today is Dr Mohamed Sayed (formerly in Miami, now in Dubai), a master surgeon who has taught us … More
1549: cataract surgery in angle closure
Cataract surgery in the setting of angle closure glaucoma is very challenging because the anterior chamber is very shallow, the … More
1542: tough resident cataract case
This is a very tough resident cataract case and there are some complications. The most important point is that the … More
1514: “the toughest case of my life”
“The toughest case of my life” is quite a statement when it is said by a highly experienced, expert level … More
1407: challenging uveitic cataract
This patient is monocular and has an opaque cataract that developed in the setting of chronic uveitis. This has cause … More
1388: small eye, small pupil, dense cataract
This is a very tough case: a small eye with a shallow anterior chamber, a small pupil with iris laxity, … More
1327: nanophthalmic eye with flat AC
Our guest surgeons today teamed up to help complete this cataract surgery in a nanophthalmic eye. The axial length is … More
1299: cataract surgery in nanophthalmos
This patient has a very small eye with an axial length of just 15 mm. That makes the entire surgery … More
Severe Zonular Laxity in PXF Cataracts
This is a really difficult surgery and we know that ahead of time. When we examine this patient at the … More
refractive lens exchange for hyperopia
This 58 year old patient is highly hyperopic, wearing +8.5 D glasses for distance vision and then +11.0 D glasses … More
Finishing this case will be difficult
The reason why ophthalmologists need to perform at least 1,000 cataract surgeries until they are sufficiently up the learning curve, … More
tiny pupil and fibrotic membrane
This is a very tough case for this senior resident. The patient has a history of chronic uveitis, which has … 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
Tough cataract case for a resident
We are thankful for the many video submissions we receive from our readers, particularly from residents or registrars who are … 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
Complete Case: Cataract in a Small Eye
Looking at this picture, we can see that the corneal diameter is very small compared to the size of the … More