This is a fun video where I give the commentary while watching it for the first time. The case is … More
Category: small pupil
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
1454: peeling off the pupillary membrane
This patient has a long history of prior uveitis / anterior iritis which caused synechiae where the iris became adherent … 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
1403: tips & tricks for using iris hooks
Iris hooks are very useful for expanding the pupil during cataract surgery. The iris hooks have an advantage over pupil … More
1392: MSICS with a small pupil
You must be wondering why I have been posting so many MSICS (manual small incision cataract surgery) videos in the … 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
1359: pupil stretch without iris damage
We can stretch the pupil using two hooks in order to enlarge a small pupil for cataract surgery. But how … More
1353: this means no pupil ring needed
There are some cases where you absolutely need a pupil expansion ring or iris hooks, such as this case. That … More
1348: pupil stretch, toric IOL, steroid implant
Our guest surgeon Dr Himani Goyal does a masterful cataract surgery for this monocular patient. We are showing the entire … More
1329: pupil expansion with iris speculum
Our guest surgeon today is showing a different type of pupil expansion ring. It is made of metal and it … More
1326: operating through a small pupil
Our guest surgeon is highly talented and from watching this surgery, I suspect has done many thousands of cataract surgeries. … More
1305: synechiolysis in traumatic cataract
These synechiae are adhesions of the iris to the anterior lens capsule and in this case, they are due to … More
1290: uveitic cataract with synechiae
Our guest surgeon presents a patient with a long standing history of uveitis who has developed an opaque cataract. In … More
1284: Pupil Stretching Works!
Pupil stretching works. And it works well without additional instrumentation or devices. In this example the pupil went from 3.9 … More
1256: you don’t need a pupil ring
If you are still a beginning surgeon or a resident surgeon, there may be a tendency to use pupil expansion … More
1200: small pupil toric IOL case
These are my pearls for implanting a toric IOL and achieving accurate alignment in small pupil cataract cases. These cases … More
1194: phaco use after IOL implanted
This is a tough case for a resident. A smaller pupil with a denser cataract and in an eye with … More
1157: Malyugin ring rips the lens capsule
This video shows a complication that I have never seen before: insertion of the Malyugin pupil expansion ring inadvertently rips … More
1155: dense cataract, small pupil, MIGS
This is a tough case in an 87 year old patient who has a small pupil, a dense cataract, and … More