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

2038: relay technique SFIOL without flanges

Since the development of the Yamane technique, the idea of flange creation to secure an IOL to the sclera has … More

2037: modified double flange for SFIOLs

Our guest surgeon uses the flange technique with 6-0 polypropylene suture to secure the IOL to the sclera in this … More

2032: ectopia lentis with suture fixation

This is a tough case of ectopia lentis where there is absent zonular support for most of the lens equator. … More

2019: dislocated IOL, CTR, capsular bag

This patient had cataract surgery years ago and then progressive zonulopathy, such as from pseudo-exfoliation, caused the entire capsular bag … More

2014: scleral fixation using internal loops

There are so many different techniques to fixate an IOL in an eye that is lacking capsular support. While the … More

2012: Gore-tex suture fixation of tilted IOL

This patient was pseudophakic and then sustained ocular trauma which resulted in zonular loss and a tilting of the IOL … More

2006: Marfan Syndrome lens dislocation

We have previously featured videos of cataract surgery in patients with Marfan Syndrome, where there is progressive zonulopathy that results … More

2005: pseudo-exfoliation triple surgery

This is a VERY difficult surgery and truly requires expert hands to achieve an excellent outcome. Our guest surgeon does … More

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

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

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

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