What IOL Power do you choose for this patient?

This 60 year old patient is seeing you in consultation for cataract surgery. He has a significant posterior subcapsular cataract … More

Position the head so the iris is parallel to the floor

Proper positioning of the patient for cataract surgery is important for the comfort of the patient and the surgeon, but … More

Optimizing Surgical Flow for Efficiency & Safety

Establishing a consistent routine in the operating room is the key for both increased efficiency as well as increased safety. … More

Quiz: Should you implant a Toric IOL in this eye?

The patient is 70 years old and the corneal scar of the left eye is about 80% depth within the … More

Match the Phaco Incision to the Limbal Relaxing Incision

We know that the phaco incision will cause some degree of corneal flattening and this has the ability to alter … More

Complete Toric IOL Case: from Marking to Alignment

Toric IOLs allow us to surgically treat corneal astigmatism at the time of cataract surgery thereby providing our patients with … More

Please do NOT use the iris to guide Capulorhexis size!

Many surgeons use the iris or pupil size as a guide for capsulorhexis creation — but you should not. Do … More

Surgical Exposure is Critical in Cataract Surgery

Head positioning and exposure of the surgical field is important for success in phacoemulsification. The patient should be supine with … More

IOL Calculations in Ultra High Myopia

Most people consider high myopia to be about -10 diopters or greater. We have covered this topic extensively in the … More

Phaco Incision Size: is smaller always better?

When it comes to incisions in the eye, it would seem that smaller is better. But is that always the … More

The Patient Refuses Refractive Correction!

This 75 year old patient needs cataract surgery because her best corrected vision is 20/50 and it is becoming increasingly … More

Some Simple Ophthalmology Mathematics

Ophthalmology has a large degree of math, particularly when it comes to refractive surgery. Our most commonly performed and most … More

Surgically Treating Residual Astigmatism

Which do you choose: Limbal Relaxing Incision (LRI) or Laser Vision Correction (LVC) for treatment of residual astigmatism after cataract … More

Basics of Limbal Relaxing Incisions (LRIs)

Every incision that is made in the cornea has an effect on its shape and therefore the astigmatism. For a … More

Cataract Surgery Technique in Highly Myopic Eyes

We have previously featured an article about doing cataract surgery in these highly myopic eyes, so we will focus on the surgical … More

Choosing Refractive Targets to maximize Depth of Field

From this photo it is obvious that the aperture size of a camera makes a large difference in the depth … More

3 Golden Rules for Patient Discussions

Physicians need to understand importance of patient discussions regarding surgery Letting patients speak, making a specific recommendation, and explaining what … More

Step-by-Step Technique for Toric IOLs

Toric IOLs can provide the added benefit of addressing astigmatism at the time of cataract surgery. They are available in … More

Alignment and Centration of Toric Multi-Focal IOLs

[From CataractCoach.com] New technology has given us the ability to address corneal astigmatism and presbyopia with a toric multi-focal IOL. … More

Nevus of Ota Cataract Surgery

Nevus of Ota refers to hyperpigmented lesions on the sclera as well as peri-ocular skin. The color tends to … More

I teach all young surgeons these 3 Tenets for Success

It’s hard to boil down decades of a career into three easy tenets, but the key principles needed for surgical … More

The Informed Consent Process for Cataract Surgery

As ophthalmologists, we know the most about cataracts and the potential benefit to our patients of any planned cataract … More