Skip to content
Cataract Coach™

Cataract Coach™

Professor Uday Devgan MD, renowned Los Angeles cataract surgeon, teaches the Best Techniques for Cataract Surgery. All Content © 2018-2023 Uday Devgan Cataract Coach™

  • Home
  • Search this site
  • Complete List of Videos and Articles
  • Copyright / Legal Agreement
  • About Dr. Devgan
  • Contact Dr. Devgan
  • Curriculum, Podcast & Special Series
  • Doctors: Submit your video here
  • join our free email list

Category: surgical pearls

1734: the 7L rule saves the day

The 7L rule has been passed down from one generation of ophthalmologists to the next for many decades. It is … More

upside down IOL

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

run-out capsulorhexis

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

pupilloplasty, synechiae

1685: Primer on how to perform LASIK

Best pearls for learning to perform LASIK

LASIK, refractive surgery

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

chemosis

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

small pupil cataract surgery

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

phaco wound burn

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

small pupil cataract surgery, weak zonular support

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

complete cataract case, high myopia

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

fluidics, shallow AC, traumatic cataract

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

complete cataract case, pseudo-exfoliation, surgical pearls

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

scleral fixated IOL, yamane

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

cataract surgery, EDOF

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

astigmatism, toric IOL

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

floppy iris, ifis, iris prolapse

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

cortex, LIDRS

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

capsular tension ring, traumatic cataract, weak zonular support

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

cataract surgery, vitrectomy

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

cataract surgery, trabeculectomy

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

upside down IOL

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

intumescent, white cataracts

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

cataract surgery, cortex, unusual case

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

complete cataract case, pupilloplasty, uveitis

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

surgical discussion, surgical pearls

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

capsulorhexis

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

cataract surgery, complete cataract case

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

posterior capsule rupture, posterior capsulorhexis

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

corneal foreign body, ruptured globe, white cataract

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

high myopia, myopia cataract, ultra myopia

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

cataract surgery, phaco chop

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

refractive lens exchange, surgical pearls

1419: How to reposition a toric IOL

It is now months after the original cataract surgery and you examine your patient and realize that the toric IOL … More

reposition IOL, toric IOL

1411: how much capsule polishing to do?

Capsule polishing to remove tiny residual bits of lens material is frequently done in cataract surgery. We have asked our … More

capsule polishing, cataract surgery

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

iris hooks

1400: handling the run-out capsulorhexis

The capsulorhexis has a tendency to run-out if the anterior lens capsule is insufficiently flattened, if there is any posterior … More

capsulorhexis

1384: four short videos with great pearls

Today we present four short videos with great surgical pearls. I am sure that you will learn something new and … More

surgical pearls

1372: my best pearl for Flomax/IFIS cases

This is a complete cataract case shown start to finish in a patient who has floppy iris syndrome due to … More

floppy iris, ifis

1358: sub-incisional cortex removal

In the USA, the most common method for removal of cortex is using a coaxial IA probe, whereas in other … More

cortex, surgical pearls

1356: effective draping for cataract surgery

Watching amazing intra-ocular acrobatics during a challenging cataract case is exciting and makes for a great video, but those cases … More

cataract draping

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

small pupil cataract surgery

1349: share your best surgical pearl

We had some much needed rain in Los Angeles recently and I was fortunate to catch a beautiful rainbow. And … More

surgical pearls

1341: phaco in a trabeculectomy eye

Anytime we perform cataract surgery in an eye with prior ocular surgery, there are additional challenges. In eyes with prior … More

glaucoma, trabeculectomy

1340: plan your rhexis to avoid opacities

Yesterday’s video (#1339) showed how to move cortical opacities from the path of the capsulorhexis by pushing the liquefied lens … More

capsulorhexis, cortical cataract

1339: you can move cortical spokes

Cortical lens opacities tend to block the red reflex which can make capsulorhexis creation more difficult. Since these cortical spokes … More

capsulorhexis, cortical cataract

1337: how to needle encapsulated setons

A glaucoma seton, such as the Ahmed Valve from New World Medical (by the way, it is not named or … More

ahmed valve, glaucoma, neo-vascular glaucoma

1330: resolving intra-op chemosis

Conjunctival chemosis can happen during cataract surgery if one of our incisions nicks the edge of the conjunctiva. This allows … More

chemosis

1325: Lens Iris Diaphragm Retropulsion

LIDRS is lens iris diaphragm retropulsion syndrome and it occurs when the iris forms a seal around the anterior capsule … More

LIDRS, reverse pupillary block

1288: the subtleties of efficient surgery

Becoming efficient in the operating room is not easy and it takes years to truly hone your craft. Remember that … More

complete cataract case, efficiency, surgical pearls

1285: remove the central capsule wrinkle

In very myopic eyes, the capsular bag is actually bigger, the same way that the corneal white to white diameter … More

capsule wrinkle, high myopia

1277: more learning from audio clues

In this video a different surgeon is using a different phaco machine and a different technique to perform cataract surgery. … More

cataract surgery

Posts navigation

Older posts

Follow us via email

Enter your email address to follow CataractCoach and receive notifications of new posts by email.

Google Translate


 

Loading Comments...