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

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

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

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

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

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