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Cataract Coach™

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: shallow AC

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

nanophthalmos, shallow AC

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

hyperopia, shallow AC

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

glaucoma, phacomorphic

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

iris prolapse, pars plana

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

stop and chop cataract surgery

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

resident cataract surgery, shallow AC

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

fluidics, shallow AC, traumatic cataract

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

complete cataract case, stop and chop cataract surgery

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

2 IOLs, cataract surgery, hyperopia

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

floppy iris, ifis, iris prolapse

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

angle closure, cataract surgery, glaucoma

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

resident cataract surgery

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

coloboma, dense cataract, nanophthalmos

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

small pupil cataract surgery, uveitis

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

nanophthalmos, shallow AC, small pupil cataract surgery

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

combined cataract and vitrectomy, nanophthalmos

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

cataract surgery, nanophthalmos

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

pseudo-exfoliation

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

panoptix, refractive lens exchange, RLE

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

cataract surgery, challenging cataract

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

challenging cataract

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

shallow AC

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

iridotomy

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

#cataract, #cataract surgery

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

#cataract, #cataract surgery

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

Review: Pseudo-Exfoliation Cataract Surgery

Pseudo-Exfoliation / Small Pupil / Weak Zonules / Shallow AC   (watch video below) A sweet 80 year old patient comes … More

Danger: Clear Crescent Red Reflex

When you are mobilizing a dense nucleus and you briefly see a bright, clear, crescent-shaped red reflex, you can be … More

Toric IOL planning in a small eye (+29.5 D)

Our main phaco incision will induce astigmatism and multiple variables affect the degree of this change. Larger incisions have more … More

The surgeon will struggle to finish. Why?

In this resident surgeon case, the anterior chamber flattens and there is loss of viscoelastic upon attempted manipulation of the … More

Cataract Surgery with Synechaie Lysis

Synechiae are adhesions of the iris to ocular structures which can cause issues of aqueous blockage, pupil dilation, and more. … More

Cataract surgery in Nanophthalmos

Nanophthalmic eyes are very small with a short axial length of less than 20 mm. This makes the cataract surgery … More

Cataract Surgery with High Power IOL placement

Cataract surgery can provide an incredible refractive result, particularly for small eyes which are highly hyperopic. We can correct 10 … More

Quiz: A shallowing capsular bag during cortex removal

The irrigation / aspiration probe is placed in the eye and we begin cortex removal. But as we try to … More

Surgical Peripheral Iridotomy using 23g Vitrector

There are times when you will need to make a surgical iridotomy either during cataract surgery or as a stand-alone … More

Guest Surgeon: Cataract with prior Trabeculectomy

This is a great video submitted by Dr. Mohammed Ghoneem from Alexandria, Egypt where he shows his method for successful … More

Inject more OVD before manipulating the IOL

When we insert the IOL, sometimes viscoelastic will be lost via the main incision. This can happen if we gape … More

Avoid Posterior Pressure from the Speculum

We need to place a lid speculum to get the best exposure for cataract surgery, but if we crank it … More

Flatten the Anterior Lens Capsule with Viscoelastic

Using a Viscoelastic (also called Ophthalmic Visco-surgical Device, or OVD) to flatten the anterior lens capsule is a critical step … More

Soft-Shell Technique for Viscoelastics

The Soft-Shell Technique for viscoelastic use in cataract surgery was developed by Dr. Steve Arshinoff as a method of getting … More

Cataract Surgery with a very shallow Anterior Chamber

This small eye suffered from angle closure and subsequent development of a white cataract. The angle closure was successfully treated … More

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