1557: small pupil and dense cataract

This is a fun video where I give the commentary while watching it for the first time. The case is … 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

This patient has a long history of prior uveitis / anterior iritis which caused synechiae where the iris became adherent … More

This patient is monocular and has an opaque cataract that developed in the setting of chronic uveitis. This has cause … More

Iris hooks are very useful for expanding the pupil during cataract surgery. The iris hooks have an advantage over pupil … More

You must be wondering why I have been posting so many MSICS (manual small incision cataract surgery) videos in the … More

This is a very tough case: a small eye with a shallow anterior chamber, a small pupil with iris laxity, … More

We can stretch the pupil using two hooks in order to enlarge a small pupil for cataract surgery. But how … More

There are some cases where you absolutely need a pupil expansion ring or iris hooks, such as this case. That … More

Our guest surgeon Dr Himani Goyal does a masterful cataract surgery for this monocular patient. We are showing the entire … More

Our guest surgeon today is showing a different type of pupil expansion ring. It is made of metal and it … More

Our guest surgeon is highly talented and from watching this surgery, I suspect has done many thousands of cataract surgeries. … More

These synechiae are adhesions of the iris to the anterior lens capsule and in this case, they are due to … More

Our guest surgeon presents a patient with a long standing history of uveitis who has developed an opaque cataract. In … More

Pupil stretching works. And it works well without additional instrumentation or devices. In this example the pupil went from 3.9 … More

If you are still a beginning surgeon or a resident surgeon, there may be a tendency to use pupil expansion … More

These are my pearls for implanting a toric IOL and achieving accurate alignment in small pupil cataract cases. These cases … More

This is a tough case for a resident. A smaller pupil with a denser cataract and in an eye with … More

This video shows a complication that I have never seen before: insertion of the Malyugin pupil expansion ring inadvertently rips … More

This is a tough case in an 87 year old patient who has a small pupil, a dense cataract, and … More