2927: four great pearls for PXF cases

Four surgical pearls to assist in cataract surgery in pseudo-exfoliation eyes Managing cataract surgery in patients with pseudo exfoliation syndrome, … More

2906: what about these retained lens particles?

The surgery seems perfect, the IOL is centered, and the cortex is clear but as you hydrate the incisions, you … More

2877: “Zombie” Double Tap to set IOP

On yesterday’s Cataract Coach Podcast (the top podcast in all of ophthalmology!) we learned some great surgical pearls from our … More

2863: using a needle to insert iris hooks

We are always looking for ways to make our surgeries more efficient and safer, and today I want to show … More

2774: stopper knot technique to secure IOLs

The stopper-knot technique using expanded polytetrafluoroethylene (Gore-Tex) sutures offers a stable, high-integrity method for scleral fixation of a dislocated intraocular … More

2758: three great cataract surgery secrets

Three “Secret” Cataract Surgery Maneuvers These Subtle Techniques Enhance Control, Visibility, and Safety Cataract surgery has undergone remarkable refinement over … 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

2507: two pearls for a great capsulorhexis

I used to think that the fewer grabs of the capsulorhexis, the better and I took pride in performing a … More

2397: four fast clips of great surgical pearls

In this video we present four fast clips, each just 1 minute long, showing great surgical pearls. The first is … More

2210: effective draping for cataract surgery

Our guest surgeon uses a technique that is very similar to what we do in our surgery center in Beverly … More

2170: Surgical Peripheral Iridectomy

Sometimes with cases of angle closure glaucoma, we need to perform a peripheral iridectomy or peripheral iridotomy. Now all of … More

2143: easy Visian ICL phakic IOL removal

Phakic IOLs have been very helpful in treating younger patients with high degrees of myopia beyond the capabilities of corneal … More

2116: cortical cleaving hydro-dissection

Cortical cleaving hydro-dissection was described 30 years ago by Howard Fine MD, a pioneer in the shift to modern day … More

1950: toric IOL with prior 16-cut RK

I have so many radial keratotomy patients who are seeking cataract surgery, usually at least a couple every week (and … More

1944: What I have learned from Cataract Coach

When I started this project in 2018 and committed to making a new video every day, I did not fully … More

1914: What if lens decompression yields nothing?

Many videos have been featured here on CataractCoach to explain how to avoid the dreaded Argentinian Flag sign with white … More

1870: three cases of sudden trouble…

In this video we present three cases of sudden trouble: (1) the IOL pops out of the capsular bag, (2) … More

1865: pre-placement of the chopper

One of the challenges in learning horizontal phaco chop is that there is only a small window of time, usually … More

1829: top 5 pearls for presbyopic IOLs

Presbyopic IOLs, primarily trifocal designs, can make patients very happy. However there are some important considerations in order to achieve … More

1824: two jerky pulls to save the capsulorhexis

We have previously covered the Little Technique to pull backwards to help save a run-out capsulorhexis. This Two Jerky Pulls … More

1818: My Week: Sub-incisional cortex

With sub-incisional cortex, using a bimanual IA set-up makes it relatively easy to remove. However, with a co-axial IA probe, … More

1817: My Week: How do I get the nucleus up?

Many readers have asked for pearls in getting the nucleus up, part way out of the capsular bag, and in … More

1816: My Week: flush out nuclear chips

Every single cataract surgeon who has done at least a few thousand cases has encountered a case with a retained … More

1709: save this run out capsulorhexis

This guest surgeon does a great job of managing this run out capsulorhexis. It extends all the way to the … More

1701: don’t just break synechiae, fix pupil

This patient had a prior history of anterior uveitis which resulted in the formation of synechiae from the iris to … More

1685: Primer on how to perform LASIK

Best pearls for learning to perform LASIK

1682: what is your approach to chemosis?

Chemosis. It happens to all of us. Just a slight cut of the conjunctiva and the balanced salt solution will … 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

1649: phaco wound burns

This video is critically important, especially for younger surgeons, because a phaco wound burn is a complication that happens more … 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

1628: more pearls for highly myopic patients

Highly myopic patients are amazed by cataract surgery because we can address even extreme degrees of myopia while giving great … More

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

1620: pseudo-exfoliation cataract surgery

When it comes to patients with pseudo-exfoliation (PXF) and cataracts, does the pre-operative examination predict the intra-operative challenges? The title … More

1613: Yamane-Kim intra-scleral fixation

Our guest surgeon does a beautiful job of performing the Yamane intra-scleral fixation technique and he takes it one step … More

1593: this EDOF patient will be amazed

What are the factors for success with EDOF (extended depth of focus) IOLs? How can we ensure that the patient … More

1592: off-axis incisions and toric IOLs

Your surgically induced astigmatism (SIA) from your standard phaco incision is probably far less predictable than you think. There are … 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

1486: LIDRS to help with cortex removal

LIDRS is Lens-Iris Diaphragm Retropulsion Syndrome and it occurs where there is a reverse pupillary block and the pressure in … More

1485: how I know zonular support is weak

Weak zonular support makes cataract surgery far more challenging and increases the potential risks such as vitreous prolapse, retained lens … More

1484: phaco before vitrectomy surgery

This patient has visually significant cataracts in both eyes and a full-thickness macular hole in one eye. I have already … More

1481: ASCRS case 12: phaco in trab eyes

This is our last of the dozen cases presented at the CataractCoach instructional course at the 2022 ASCRS meeting. When … More

1472: ASCRS case 3: rock the nucleus

Rocking the nucleus is an important step for intumescent white cataracts because it allows the liquefied cortex that is behind … More

1455: cortex removal before nucleus removal

This video shows something that I have never previously seen before: removal of the lens cortex prior to removing three … 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

1452: always give the benefit of the doubt

This is one of the most critically important lessons in ophthalmic surgery. You must remember that the result of surgery … More

1444: the patient moved during the rhexis

As I am performing the capsulorhexis, the patient unexpectedly moved and there is a run-out of the capsule tear. The … More