When I first performed a sutured IOL about 25 years ago, it was suturing a CZ70BD IOL to the sclera … More
Category: sutured IOL
1934: combined IOL + iris prosthesis
This is a novel device that combines an artificial iris with an IOL in order to address aphakia and aniridia … More
1921: retro-iris claw lens for aphakia
This patient has a complex ocular history which resulted in an eye with no capsular support. To address the aphakia … More
1909: zonulopathy with capsule fixation
This patient has extensive zonulopathy and phacodonesis which is going to make the cataract surgery difficult and also pose a … More
1897: Anchor Style haptics for IOL fixation
This patient experienced a dropped nucleus during cataract surgery with extensive damage to the capsular bag. This poses a challenge … More
1874: challenging rescue of a dislocated IOL
In this case, the IOL is falling back into the vitreous cavity and it is certainly entangled with the vitreous. … More
1860: Canabrava double flanged technique
I was recently at the BRASCRS cataract and refractive surgery meeting in Saõ Paulo, Brazil and I saw an amazing … More
1775: the IOL is sitting on the macula
This patient suffered late dislocation of the IOL+capsular bag complex and it fell into the vitreous cavity and it now … More
1745: Ahmed capsular segment placement
This is a tough case where the surgeons learns intra-operatively that there is a quadrant of poor zonular support. An … More
1730: belt loop to fixate Ahmed segment
This patient sustained ocular trauma which resulted in loss of zonular support for about 180 degrees, allowing tilt and decentration … More
1718: Marfan syndrome subluxed lens
Marfan syndrome patients develop a progressive zonulopathy with subluxation of the crystalline lens which leads to visual decline. While still … More
1697: what is this loose Gore-Tex suture?
Our guest surgeon, Dr Sara Bozorg, has sent us a very interesting case. This patient had some unknown procedure performed … More
1686: dense cataract iris & zonular loss
This case is beyond 10 out of 10 in difficulty and our guest surgeon, Dr Steve Safran, is a true … More
1670: traumatic cataract with iris damage
This patient sustained ocular trauma which resulted in a traumatic cataract, zonular loss, iris avulsion, and vitreous prolapse. Now you … More
1661: X-NIT simplifies Yamane IOL fixation
Our guest surgeon has developed a novel technique for simplifying the Yamane IOL scleral fixation procedure. Typically with the Yamane … More
1631: Marfan Case with Yamane IOL
In cases where the surgeon performs Yamane intra-scleral haptic fixation (ISHF) it is recommended that at least a partial anterior … More
1624: gore-tex intra-scleral IOL fixation
I was fortunate to give this presentation as part of the Ophthalmic Premier League competition at the AAO 2022 meeting … More
1607: Z-suture technique to secure IOLs
There are so many innovative techniques in ophthalmology, that it is quite a challenge to learn all of them. This … More
1530: intra-scleral flange placement
In the past few years we have seen many advances in IOL fixation using techniques described by Yamane, Canabrava, Oetting, … More
1517: Star Technique for dislocated IOLs
Even after performing ocular surgery for 25 years, I still learn so much by making these CataractCoach videos and today … More
1492: suture the IOL to a prosthetic iris
This patient sustained severe ocular trauma which left the eye aphakic with no capsular support and also significant iris damage. … More
1423: subluxated cataract & pupilloplasty
This patient sustained an ocular injury which resulted in subluxation of the crystalline lens, cataract formation, and chronic traumatic mydriasis. … More
1421: belt loop technique to secure IOLs
Our guest surgeon, Dr Cathy McCabe from Florida, USA has an innovative way of securing IOLs to the sclera in … More
1365: suture fixated Cionni Ring (CTR)
This patient sustained ocular trauma which resulted in a traumatic cataract and loss of about 5 to 6 clock hours … More
1297: intra-scleral IOL haptic fixation
The three main ways of fixating a three-piece IOL to the sclera without using sutures: the Yamane technique, the Scharioth … More
1289: how to re-center a Yamane IOL
The Yamane technique for fixation of a three-piece IOL to the sclera is a good option for a posterior chamber … More
1264: Yamane IOL fixation step-by-step
Our guest surgeon, Dr Utku Limon from Turkey, does a great job of performing the Yamane IOL fixation technique where … More
1161: IOL rescue suture fixation
Twenty years ago, the most common method of suturing an IOL to the sclera was using 10-0 prolene and a … More
1140: IOL punch for suture fixation
There are many different techniques for suture fixation of an IOL to the sclera: Yamane, Canabrava, Gore-Tex, belt loop, and … More
1129: exposed and eroding IOL sutures
The best placement of an iOL is in the capsular bag. That is the end of the story. There are … More
1068: sutured capsular tension segment
This patient was born with a lens coloboma where part of the crystalline lens did not develop and there is … More
1049: four flanged IOL suture fixation
We have seen a lot of innovation with regards to IOL fixation to the sclera. There is the Yamane technique … More
1045: suturing the IOL to the CTR
Our guest surgeon is Dr. Val Apostolov from Amsterdam and he demonstrates a technique that I have never seen before: … More
anterior segment total reconstruction
This is a very complex case of a patient who had cataract surgery elsewhere and sustained complications during the procedure. … More
double flange IOL scleral fixation
The Yamane technique of IOL fixation to the scleral works better with certain three-piece IOLs because of the differences in … More
compilation video: suture-fixated IOLs
This video features all sorts of suture-fixation techniques for securing IOLs in cases where there is limited or no capsular … More
From routine case to disaster in 1 second
When I first saw this video, which was submitted by an anonymous surgeon, I was in disbelief. I simply could … More
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
Scleral-sutured IOL with GoreTex
This is an unusual case of prior trauma. A 13 year old boy was playing with fireworks and sustained a … More
Mastering IOL Flange Techniques
In cases of insufficient zonular support, using a flange technique has become popular after Dr Shin Yamane shared his technique … More
Old IOL explanted, then new IOL sutured to the Iris
This patient had a prior cataract surgery with a single-piece acrylic IOL precariously placed into a compromised capsular bag. This … More
Traumatic Cataract: What is your surgical approach?
This 42 year old patient sustained an airbag injury to his face a few months ago. He noted cloudy vision … More
Cataract Surgery in Marfan Syndrome
Patients with Marfan Syndrome have a congenital, progressive weakness in the zonular structures which support the crystalline lens. As such, … More
The Rule of Nines for Sulcus IOL Power
From CataractCoach.com: With newly developed methods of IOL power calculation, we are approaching 90% or higher accuracy of achieving +/- … More
4 Cases of Surgical Iris Repair
From CataractCoach.com: This young man sustained a terrible trauma which resulted in severe ocular trauma. A shard of glass penetrated … More
4 times when you should NOT do surgery
Any surgeon can operate, but it takes a surgeon with good judgment to know when not to operate. During my … More
3 Keys to doing 4-point Sceral-sutured IOLs
From CataractCoach.com: With video footage provided by Dr. Michael Patterson, we review the anterior segment approach to 4-point fixation of an IOL … More
Surgical Approach to the Dislocated IOL
(scroll down for full video of four-point fixation of an IOL to the sclera) Cataract surgery has an amazing success … More
Sneak Preview: 4-point Scleral Sutured IOL
One surgeon cannot be a master of all. Often, teamwork with colleagues can provide the best results for our patients … More