This patient had a prior history of anterior uveitis which resulted in the formation of synechiae from the iris to … More
Category: small pupil
1681: your advice for this young doctor
Time for a group effort from out CataractCoach fans: this young surgeon has submitted case 100 and asks for our … More
1680: successful small pupil MSICS
Our guest surgeon has a lot of experience in performing MSICS, even in a tough case like this with a … More
1673: lift the iris in a small pupil case
For patients with smaller pupils, such as this case with about a 4 mm pupil diameter, I tend not to … More
1667: case 2500 small pupil, no ring needed
Many surgeons will see this small pupil and immediate ask for a pupil expansion ring or iris hooks and that … More
1663: resident fixes synechiae small pupil
This small pupil case has a surprise in store for you. The patient has a history of prior uveitis which … More
1662: expansion ring for small pupils
Happy Thanksgiving to my USA followers – my favorite holiday of the year because we express our gratitude for the … More
1645: phacolytic glaucoma & synechiae
Our guest surgeon does a great job with a very difficult cataract surgery. The patient has phacolytic glaucoma where the … More
1632: sphincterotomy & bag handle
The two techniques shown in this video have not been previously featured on CataractCoach and since they are from the … More
1621: is it ok to do phaco in the AC?
Many years ago when phaco techniques were first being developed, some surgeons elected to do phaco in the anterior chamber. … 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
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
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
1151: white cataract and uveitis synechiae
This patient has a long standing history of uveitis which has resulted in synechiae between the iris and the anterior … More
1130: Pupil Expansion with B-Hex Ring
If you really want to be honest with yourself, you will agree that the B-Hex pupil expansion ring is amazing. … More
1093: Audience Poll: Pupil Ring or Not?
This is the maximum pharmacologic dilation of about 4mm and the patient is noted to be taking tamsulosin (Flomax) for … More
1082: release of posterior synechiae
Our guest surgeon shows us his technique of using a spatula to release the posterior synechiae in this eye with … More
1081: if you need iris hooks, use them
Our guest surgeon shows us a case that really benefits from using iris hooks. This video goes into the details … More
1002: Do not upset the iris!
There is a lot to learn from this resident cataract surgery. The case starts out with a reasonable pupil of … More
This sign means I need a pupil ring
this sign means that I need a pupil ring for cataract surgery
You don’t always need rings or iris hooks
For a case like this, there is no need for a pupil expansion ring or iris hooks. These devices can … More
Playlist: Small Pupil Cataract Surgery
Small pupil cases are relatively common, so all cataract surgeons must learn to master the techniques for these cases. This … 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: Uveitis, Glaucoma, Cataract
Cataract surgery in an eye with uveitic glaucoma Stepwise approach to surgical success Cataract surgery in eyes with small pupils … More
Complete Cataract Case: No pupil ring!
Another video in our series of complete cataract cases, where the entire surgery from start to finish is presented. There … More
lift the iris in smaller pupil cases
While we think that an 8 mm pupil is very well dilated, we must remember that the capsular bag has … More
Surgeon returns after a 3 month hiatus
Performing surgery at a high level is a skill that must be continually honed and practiced. What happens when we … More
Resident Cataract Case with Iris Hooks
For a small pupil case, using iris hooks is helpful to give better access during cataract surgery. This case is … More
Make 2 Paracentesis Incisions
In the USA, most surgeons use coaxial I/A for cortex removal and as such, they tend to make a single … More
Review: Management of Iris Prolapse
In this resident performed surgery, we encounter iris prolapse after too much hydro-dissection. This results in the iris prolapsing out … More
Uveitic Dense White Cataract
This dense white cataract is further complicated by being an a uveitic eye with a fibrotic membrane causing a small … More
How to: Challenging Uveitic Cataract
This patient has a long standing uveitis which is currently under control as well as uveitic glaucoma which required placement … More