2887: The “5F” intra-scleral haptic fixation

Our guest surgeon is performing Dr Soosan Jacob’s 5F Technique which is a refined approach to sutureless intrascleral haptic fixation … More

2879: intra-capsular MSICS & scleral fixated IOL

In cases of severe phacodonesis, where zonular support is nearly non-existent, a standard extracapsular approach often risks complete lens dislocation. … More

2870: pupilloplasty & capsular bag fixation

This video features our talented guest surgeon performing two tough cases, both with a pupilloplasty and each doing a different … More

2822: How to suture Cionni rings to sclera

To fixate a Cionni Modified Capsular Tension Ring, we must anchor the eyelet to the sclera, typically 1.5 to 2.0 … More

2789: Alondra knot vs Cupid needle for IOL

Today our two guest surgeons are presenting different ways of securing a loose IOL to the sclera using sutures. The … More

2787: IOL suspension Gore-tex suture loop

Our guest surgeon does a great job with this very tough case. The patient sustained severe ocular trauma and now … More

2783: imaging shows severe zonulopathy

Severe zonulopathy with marked phacodonesis requires early mechanical stabilization of the capsular bag to permit safe cataract surgery. After creating … More

2774: stopper knot technique to secure IOLs

The stopper-knot technique using expanded polytetrafluoroethylene (Gore-Tex) sutures offers a stable, high-integrity method for scleral fixation of a dislocated intraocular … More

2768: Hoffman Pocket Technique Sutured IOLs

The Hoffman pocket technique offers a valuable approach for securing scleral-sutured intraocular lenses in eyes with inadequate capsular support while … More

2605: combination PPV and IOL exchange

In this video, we have a tag team commentary with Prof. Pradeep Prasad, host of our sister channel RetinaRounds.com, and … More

2599: Quiz: What happened to this IOL?

This patient had a prior pars plana vitrectomy and then a three-piece IOL was implanted, but now, months later, the … More

2579: total anterior segment reconstruction

Our guest surgeon does a great job with a very difficult case. This patient has an opacified IOL that is … More

2572: hereditary lens subluxation

When we see hereditary lens subluxation in a younger patient, we should think of systemic conditions which can be associated … More

2571: zonular loss noted in cortex removal

In this resident case, you can clearly see zonular loss during cortex removal but you could have also seen it … More

2534: fixing severe zonular loss

Our guest surgeon does a fantastic job with this very difficult cataract case. You can see in the title picture … More

2480: pinhole pupilloplasty for corneal scar

This young patient sustained a ruptured globe injury with a large central corneal laceration and puncture of the crystalline lens. … More

2472: dislocated IOL and bag with PXF

This patient had cataract surgery done many years ago and everything was great until recently. The patient now presents to … More

2445: iris claw lens and pupilloplasty

Our guest surgeon does a great job with a complex case of trauma. This patient has a severely dislocated crystalline … More

2432: fix zonular loss with CTS + Goretex

This is a tough case of a traumatic cataract with about half of the zonular support being compromised (6+ clock … More

2397: four fast clips of great surgical pearls

In this video we present four fast clips, each just 1 minute long, showing great surgical pearls. The first is … More

2390: Quiz: Where did the nucleus go?

This is a very interesting case where the surgeon tries to puncture the anterior lens capsule but it is very … More

2364: simplified Yamane ISHF technique

The Yamane ISHF (intra-scleral haptic fixation) technique has become very popular method in the past few years. This allows us … More

2355: transconjunctival IOL fixation

Our guest surgeon uses 8-0 Gore-Tex suture to fixate an IOL with eyelets to the sclera using a transconjunctival approach … More

2328: saving the capsular bag in ectopia lentis

This patient has ectopia lentis with severe subluxation of the crystalline lens. Our guest surgeon does a great job of … More

2321: ectopia lentis from homocystinuria

There are certain rare diseases, such as Marfan syndrome and homocystinuria, which lead to progressive zonulopathy with subluxation of the … More

2314: extrusion cannula assisted levitation

This patient had complications during cataract surgery which resulted in a ruptured posterior capsule, retained lens fragments, and the IOL … More

2289: scleral suture fixation of a toric IOL

This patient had trauma which resulted in a ruptured globe as you can see from the large corneal laceration which … More

2278: Iris scaffold and IOL scaffold

This is a very tough case where there is displacement of the cataractous lens due to severe zonulopathy. The three … More

2276: Yamane pearls from a retina surgeon

The Yamane technique of scleral fixation of an IOL has become popular over the past few years. It can work … More

2261: pseudo-phacodonesis & UGH syn

Yesterday’s CataractCoach Podcast featured Dr Chris Teng from Yale University where we talked about surgical scope, entrepreneurship, and complex anterior … More

2243: rescue this aphakia and iris damage

This patient has a complex prior history with cataract removal, loss of the capsular bag, iris damage, and a prior … More

2200: How do you fix this dislocated IOL?

This patient was referred to you for a “slightly dislocated IOL” and this is what you see. There is a … More

2167: Hashtag suture to stabilize the IOL

This young patient has Marfan Syndrome and previously underwent pars plana vitrectomy and lensectomy for a dislocated crystalline lens with … More

2163: total ocular reconstruction

This is a very complex case in a monocular patient who presents to you with a dislocated IOL and capsular … More

2158: How to fix this traumatic cataract?

You cannot fully undo trauma, especially when it comes to the eye and delicate ocular structures. This patient sustained ocular … More

2154: re-inserting the haptic for ISHF

Intra-scleral haptic fixation (ISHF) has become a popular way of dealing with the absence of capsular support ever since it … More

2138: connecting IOL haptic to a suture

When performing the Yamane technique of intra-scleral haptic fixation there are two main challenges: (1) externalizing the haptics through the … More

2136: secure the IOL, CTR, and bag complex

This patient has a history of prior cataract surgery with CTR placement and pseudo-exfoliation glaucoma. You can see an active … More

2075: scleral fixated IOL and iris cerclage

This patient sustained ocular trauma which resulted in aphakia without capsular support and chronic mydriasis. Our guest surgeon does a … More

2074: Quiz: How to fix this dislocated IOL?

This patient is sent to you with no prior history other than having cataract surgery a year ago and then … More

2068: rotisserie optic tilt with Yamane IOLs

The Yamane technique of IOL fixation to the sclera has become very popular in the last few years but increasingly … More

2066: belt loop with flanges in the cornea

We have seen many techniques of IOL fixation in cases of insufficient capsular support where the flange technique is used … More

2063: the problem of exposed flanges

We have featured many techniques of IOL fixation in cases of insufficient capsular support such as the Yamane technique, the … More

2040: Ahmed segment secured with Gore-tex

This patient presents with a traumatic cataract with extensive zonular loss which means that simply placing an IOL within the … More

2039: total anterior segment reconstruction

This young patient presents with a very difficult situation: a dislocated IOL, fibrotic capsule tissue, iris damage, and uncontrolled glaucoma. … More