3060: your first posterior capsule rupture – you are doing it WRONG!

3060: your first posterior capsule rupture – you are doing it WRONG! A posterior capsule rupture is an inevitable learning … More

3054: Quiz: What is wrong with this sulcus IOL?

3054: Quiz: What is wrong with this sulcus IOL? Look carefully at this picture. In particular the orientation of the … More

2998: sulcus IOL damages ciliary processes

2998: sulcus IOL damages ciliary processes This compelling case highlights a major hidden risk of secondary lens placement: a malpositioned … More

2922: post-occlusion surge breaks the bag

When you are down to that final nuclear fragment, the risk of a posterior capsule rupture is at its peak … More

2912: Quiz: Why is there pupil capture?

This surgical case serves as a critical CataractQuiz™ regarding a common yet preventable postoperative complication: pupil capture. The title picture … More

2823: Soemmering’s Ring Removal

A Soemmering’s ring is a postoperative finding characterized by a doughnut-shaped proliferation of residual lens epithelial cells and cortical fibers … More

2776: pre-existing posterior capsule rupture

Cataract surgery in an eye with a posterior capsule rupture from a prior intravitreal injection requires careful preoperative planning and … More

2773: global zonular laxity and weakness

Our guest surgeon, Dr Sergio Kwitko from Brazil, is superbly talented at complex anterior segment surgery and he presented this … More

2688: intra-lenticular foreign body

This patient sustained an open globe injury where a metallic foreign body pierced the cornea and the lens capsule and … More

2619: IOL exchange with an open capsule

We recently featured a video where I explained some patient situations where a multifocal IOL could be problematic. One of … More

2580: and just like that the capsule splits

We are preferentially looking for surgical complication videos (and we can feature them anonymously if desired) and today our guest … More

2562: cataract with global zonular laxity

What is the best way to perform cataract surgery when the patient has global zonular laxity? When all of the … More

2483: Quiz: Why the recurrent bleeding?

This patient had cataract surgery 6 years ago and has suffered from recurrent vitreous hemorrhage and uveitis ever since. Looking … More

2440: the probe just punctured the capsule

Looking at this title picture with that hole punch sign, we know that there are some serious challenges ahead. At … More

2404: the probe just punctured the capsule

For experienced surgeons, complications involving the capsule happen more often during epi-nucleus and cortex removal than during nucleus removal. In … More

2335: ruptured globe needle penetration

This patient sustained an ocular injury where a needle / wire penetrated the central cornea and the crystalline lens. This … More

2327: Quiz: How do you proceed safely?

Time for another CataractQuiz™: This patient had an intra-vireal injection which inadvertently punctured the lens capsule near the equator. Now … More

2198: piggyback IOL with a surgical PI

This patient had cataract surgery performed elsewhere which resulted in an unwanted refractive outcome with an IOL power that was … More

2188: Best of Cataract Coach: Case 3

Case 3. We had an amazing turnout at our Best of Cataract Coach instructional course at the ASCRS meeting in … More

2186: Best of Cataract Coach: Case 1

Case 1. We had an amazing turnout at our Best of Cataract Coach instructional course at the ASCRS meeting in … More

2142: IOL exchange with UGH syndrome

A single piece acrylic IOL does not work well in the sulcus because of its design: it is planar and … More

2115: Quiz: What happened with the CTR?

Look carefully at the title photo and let me know what you think is going on with the CTR? What … More

2111: white cataract after ruptured globe

This patient sustained a penetrating corneal injury which was repaired surgically with two sutures. Fortunately, this corneal laceration is paracentral … More

2096: and suddenly, the capsule split…

We have all been there: trying to do needle decompression of an intumescent white cataract and then suddenly, the capsule … More

2074: Quiz: How to fix this dislocated IOL?

This patient is sent to you with no prior history other than having cataract surgery a year ago and then … More

2069: how to manage posterior capsule rupture

If you perform cataract surgery, you will need to be able to manage posterior capsule rupture. Even the most experienced … More

2056: IOLs in posterior capsule rupture

Our guest surgeon is Dr Suvira Jain and she runs a great YouTube channel called PhacoPoint where she teaches cataract … More

1990: Quiz: How do you safely finish this case?

Cataract Quiz! As you are doing cortex removal with the IA probe you suddenly notice that the posterior capsule is … More

1982: IOL exchange with open capsule

This patient received a light-adjustable lens (LAL from RxSight) and was not happy with the outcome due to both negative … More

1965: IOL exchange with haptic amputation

All cataract surgeons should learn how to perform and IOL exchange. And we have many videos that show you how … More

1906: decentered IOL & fibrosed capsule

This patient underwent cataract surgery a few years prior and now presents to you with a dislocated sulcus IOL and … More

1825: the problem with one haptic in the sulcus

This patient has femtosecond laser assisted cataract surgery with placement of a trifocal IOL two years ago. And while the … More

1823: white cataract after intra-vitreal injection

When a patient develops a white cataract right after an intra-vitreal injection, you can be pretty sure that the capsular … More

1774: When did the posterior capsule rupture?

I have watched this video a few times and I am still not sure when the capsule ruptured. Look at … More

1773: capsule ruptured by intra-vitreal injection

With millions of intra-vitreal injections being performed every year, an iatrogenic rupture of the posterior capsule by the needle is … More

1725: coloboma with capsule rupture

Yesterday we featured a case of cataract surgery in a patient with a coloboma. And today we have another similar … More

1696: dislocated IOL exchange technique

Our guest surgeon, Dr Brandon Ayres from Wills Eye Hospital, gets referred a high volume of complex anterior segment reconstruction … More

1691: IOL haptic tears posterior capsule

Another tough case today: as this resident implants a three-piece IOL, the leading haptic is twisted and the sharp tip … More

1690: capsule rip extends to posterior capsule

This is a heartbreak of a case. The anterior lens capsule splits wide open with the classic Argentinian Flag Sign … 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

1584: posterior polar ruptured capsule

When I have lectured at large ophthalmic meetings, I would sometimes pause and ask the audience members to raise their … More

1578: how to rescue this capsule split

You are performing cataract surgery and everything appears routine as the case is progressing smoothly. The nucleus is removed and … More

1409: vitreous prolapse into the AC

An anonymous surgeon submitted this video and I knew that I had to share it with our fans. Every surgeon … More

1408: the posterior capsule is ruptured

Look carefully at the title picture and you will see that the posterior capsule is ruptured and it appears to … More

1389: posterior capsulorhexis optic capture

Our guest surgeon performs cataract surgery for this 5 year old child with galactosemia and he uses pearls learned from … More

1293: compilation video: sulcus IOL

This is a compilation video, about 10 minutes in length, where we review the important concepts of sulcus IOLs. We … More

1235: convert to manual ECCE surgery

This case poses a big challenge: the posterior capsule ruptures and we realize this when there is suddenly a pronounced … More

1221: traumatic cataract lens penetration

This patient sustained a penetrating ocular injury about one year ago. He was working on a construction project and a … More

1219: posterior polar capsule rupture

This patient has bilateral posterior polar cataracts which progressively became more opaque and caused increasing visual problems. The first eye … More