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

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

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

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

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

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

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

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

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

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

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