Our guest surgeon does a beautiful job of performing the Yamane intra-scleral fixation technique and he takes it one step … More
Category: surgical pearls
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
1478: ASCRS case 9: upside down IOL
You may be surprised to learn that an upside down IOL happens to every single cataract surgeon. The key is … 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
1443: the nucleus just will not rotate
This is a seemingly routine case, shown start to finish, where I find it challenging to rotate the nucleus despite … More
1439: save this case of capsule rupture
Our guest ophthalmologist is Dr Cathy McCabe from Florida, USA and she is truly a master surgeon, having done tens … More
1438: intra-lenticular foreign body
Our guest surgeon is Asst. Prof. Christina Mamalis MD from the University of Texas in Houston, and she presents a … More
1432: high myopia refractive targeting
There is a reason why I recommend that you do NOT aim for a plano outcome in highly myopic eyes. … More
1431: this is why I just need one chop
For routine cataract cases, I can perform just one phaco chop to split the nucleus into two halves and then … More
1429: refractive lens exchange pearls
In my quest to give away every secret, surgical pearl, and useful bit of knowledge that I have acquired over … More