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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™

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Category: surgical planning

1674: IOL choice in a teenager

This young patient presents with dense posterior subcapsular (PSC) cataracts in both eyes which is severely limiting the vision. The … More

IOL, PSC cataract, young patients

1643: limitations with the Vivity IOL

***I mis-spoke at the 1 min mark: small aperture is more depth of field and longer shutter time. The large … More

alcon vivity, EDOF

1594: healing & anatomy affect outcomes

Patient anatomy and healing greatly affect outcomes. The visual results of surgery depend both on surgeon as well as patient … More

patient discussions, patient expectations, patient experience

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

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

1479: ASCRS case 10: topo & tomography

How do you make a surgical plan to correct astigmatism when the keratometer, topographer, and tomographer show differing degrees and … 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

refractive lens exchange, surgical pearls

1357: biometry for trifocal IOLs

The new generation of diffractive trifocal IOLs such as the Alcon PanOptix and the J&J Tecnis Synergy are able to … More

biometry, trifocal

1342: treat from the brain and heart

We have previously discussed the Golden Rule of patient care where we give every patient the same high level of … More

golden rules, patient experience

1318: trifocal IOL performance years later

In the USA we have had access to some trifocal IOLs for the last couple of years. During that time … More

trifocal

1315: Update on the Tecnis Eyhance IOL

This video gives an update on my experience with the J&J Tecnis Eyhance monofocal IOL. It is a good monofocal … More

eyhance, surgical discussion

1272: the Golden Rule for patient care

I only remember a few things about kindergarten: playing handball during recess, watching Matilda eat paste, and learning the golden … More

golden rules, patient experience

1251: re-aligning a toric IOL without OVD

Our guest surgeon, Dr Alex Abdo Martins from Brazil, has a very interesting case for us. This patient has a … More

astigmatism, toric IOL

1227: secrets for radial keratotomy patients

While radial keratotomy (RK) is rarely used as a refractive surgery today, a few decades ago it was very popular. … More

cataract surgery, radial keratotomy, toric IOL

1195: when you should not operate

Any surgeon can operate, but it takes a surgeon with good judgment to know when not to operate. During my training, one … More

when you should not operate

1174: picking the right IOL for each eye

We are fortunate to have a wide range of different IOLs to offer our patients. We have bifocal IOLs, trifocal … More

panoptix, right IOL, Symfony, Synergy, Vivity

1127: keeping track of surgical timing

You are the master of your own domain. The master of your own career. The master of your own life. … More

efficiency, surgical pearls

1112: surgical pearls for ocular asymmetry

While most patients have eyes that are very similar, there are a few patients where the eyes are remarkably different, … More

ocular asymmetry

1104: Playlist: Post-Op Day 1

Modern day cataract surgery has a very high success and safety record, with the vast majority of patients having a … More

playlist, post-op day 1

1099: some amazing surgical pearls

With CataractCoach, I am sharing everything that I have learned or figured out during the past 25 years in ophthalmology. … More

cataract surgery, surgical pearls

1084: toric planning for high astigmatism

Our video today showcases the surgical planning for this patient with a high degree of corneal astigmatism. We will go … More

astigmatism, toric IOL

1075: Can I use EDOF with eye disease?

I am frequently asked if the new class of EDOF (extended depth of focus) IOLs can be used in eyes … More

EDOF

1073: Why did the AC Depth increase?

This patient had biometry performed in our clinic, using the same machine in 2017 and then again in 2021. Of … More

AC depth

1003: Why did the patient go elsewhere?

This video shows two complete surgeries, both presented at high speed. The original cataract surgery was performed by me and … More

iol exchange

clean your optics & focus the microscope

This is actually a very important lesson. Your microscope optics will determine your view for the surgery and that could … More

cataract surgery, dirty optics

IOL design differences

We have many different IOL designs available for use in cataract surgery and even within the most popular category (single-piece, … More

IOL design, IOL differences

choosing refractive targets

Plano is not always the goal It would seem logical that emmetropia is the ideal refractive state of the eye. … More

cataract surgery

Cataract Surgery with prior Amblyopia

The most common causes of amblyopia are related to either strabismus or an untreated refractive error, particularly in one eye … More

amblyopia, cataract surgery

Angle Alpha and Angle Kappa with IOLs

If an IOL has zero power, such as in an extremely myopic patient, where we place it in the eye … More

angle alpha, angle kappa

Review: Optimizing Cycle Time Efficiency

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

#cataract, #cataract surgery

Review: The Angle of Approach for Incisions

The angle of approach of the keratome will determine the tunnel length of our phaco incision. If the angle is … More

#cataract, #cataract surgery

Intra-scleral Gore-Tex IOL fixation

This young patient sustained severe ocular trauma a few years ago and he had a surgical repair done in another … More

#cataract, #cataract surgery

DMEK surgery with pre-loaded graft

We have previously featured Descemet Membrane Endothelial Keratoplasty here on CataractCoach with a video from one of my residents and … More

DMek

Leukocoria in a newborn baby

Leukocoria in a newborn baby is an urgent situation that needs immediate attention from an ophthalmologist. The cause of the … More

Mentally Recovering from Complications

There are only two types of ophthalmologists who never, ever get surgical complications: (1) those who don’t operate, and (2) … More

Cataract Surgery with Pterygium Present

For a patient with both a pterygium and a visually significant cataract, the best option is usually to do the … More

Phaco Chop in patients over age 90

In previous videos we have explained the differences when operating on nonagenarian patients. These patients have weaker tissues such as … More

Toric IOL planning in a small eye (+29.5 D)

Our main phaco incision will induce astigmatism and multiple variables affect the degree of this change. Larger incisions have more … More

The Smallest Permissible Capsulorhexis

From watching our videos, you know that for most cases, I find that a 5 mm capsulorhexis is ideal. This … More

Choosing Toric IOL Steps

For toric IOLs, we need to select the best spherical power as well as the ideal toric step. What is … More

Cataract Surgery in a 100-year-old patient

We should all be so lucky to live to 100 years old. It’s quite a rarity and it is something … More

How to do Limbal Relaxing Incisions

Just about any incision in the cornea will induce some astigmatic change. We have shown how to place the phaco … More

Quiz: what is different about this white cataract?

This patient has an intumescent white cataract but something is different about this case. In fact, there is a very … More

Cataract Surgery Draping is Critical

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

Surgeon Ergonomics for Ocular Surgery

As an ophthalmic surgeon, you will spend a large part of your future in the operating room performing delicate ocular … More

Review: Cataract Surgery in Deep Set Eyes

Performing intra-ocular surgery in a deep set eye is challenging because the access is limited. In the case shown here, … More

Alcon PanOptix Trifocal IOL Performance

In the USA, the FDA has recently approved the Alcon PanOptix IOL for use in cataract surgery. This is a … More

Solving a tough case of Hexagonal Keratotomy

Featuring guest surgeon: Arun Gulani MD from Jacksonville, Florida, USA This complex case involved a patient who underwent hexagonal keratotomy … More

Does age make a difference in IOL surgical planning?

We have some amazing surgical technology now with IOLs that give a wide range of vision and can even help … More

Quiz: Which eye do you fix first?

This patient needs surgery on both eyes. The right eye has a cataract which is limiting the vision to 20/80 … More

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