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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: Toric IOL

1716: astigmatism in radial keratotomy

For patients with prior radial keratotomy (RK), cataract surgery has to be done differently. These eyes also often have significant … More

astigmatism, radial keratotomy

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

1660: monocular patient with prior trab

A monocular patient is always a challenge because the patient has just the one eye. This often instills a fear … More

glaucoma, monocular patients, trabeculectomy

1650: how to reposition a toric IOL

When we implant a toric IOL to address pre-existing corneal astigmatism, we need to orient the axis of the IOL … More

reposition IOL, toric IOL

1592: off-axis incisions and toric IOLs

Your surgically induced astigmatism (SIA) from your standard phaco incision is probably far less predictable than you think. There are … More

astigmatism, toric IOL

1564: on-axis incisions for toric IOLs

In most cases, I like to make the phaco incision on the steep meridian of corneal astigmatism. If the patient … More

astigmatism, incisions, toric IOL

1552: skill level after 250 cases done

Another anonymous USA resident sent me a video of the last case of residency, case number 250 where the nucleus … More

resident cataract surgery

1512: stereoscopic 3D surgical videos

The first time I used a heads-up 3D viewing system for cataract surgery was more than 10 years ago. By … More

3D videos, surgical videos

1501: complete toric IOL technique

Toric IOLs are great options to address corneal astigmatism, especially when it is 1 diopter or greater in magnitude. This … More

complete cataract case, toric IOL

1480: ASCRS case 11: reposition toric IOLs

Toric IOLs are great for treating significant degrees of corneal astigmatism and in the USA, we have a range that … More

reposition IOL, toric IOL

1449: monocular patient with 16 cut RK

This is a tough case in a patient with just one eye. He had a prior history of 16-cut radial … More

cataract surgery, radial keratotomy

1419: How to reposition a toric IOL

It is now months after the original cataract surgery and you examine your patient and realize that the toric IOL … More

reposition IOL, toric IOL

1348: pupil stretch, toric IOL, steroid implant

Our guest surgeon Dr Himani Goyal does a masterful cataract surgery for this monocular patient. We are showing the entire … More

small pupil cataract surgery

1317: Is a toric IOL ok in Fuchs’ Dys?

We can do cataract surgery for patients with Fuchs’ corneal dystrophy, but we must weigh the relative risks of corneal … More

fuchs, toric IOL

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

1310: why the capsulorhexis matters

The capsulorhexis is a critical step of cataract surgery for two main reasons: it creates a stable and strong opening … More

capsulorhexis

1259: OSN NY differing astigmatism

This talk is one of my lectures from the OSN NY 2021 meeting. This is the Ocular Surgery News meeting … More

astigmatism, OSN NY, toric IOL

1258: OSN NY managing capsular issues

This talk is one of my lectures from the OSN NY 2021 meeting. This is the Ocular Surgery News meeting … More

capsular tear, capsule rupture, OSN NY, toric IOL

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

1249: time for the second eye of #1248

Yesterday’s video (1248) showed a very challenging case of compromised zonular support in a patient who may have had prior … More

cataract surgery, complete cataract case, EDOF, toric IOL

1248: surgeon surprised by zonular loss

A careful slit-lamp microscope examination of the eye during the pre-operative consultation can pick up most cases of compromised zonular … More

traumatic cataract, weak zonular support

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

1219: posterior polar capsule rupture

This patient has bilateral posterior polar cataracts which progressively became more opaque and caused increasing visual problems. The first eye … More

anterior vitrectomy, capsule rupture, posterior polar, sulcus IOL

1212: resident posterior polar cataract

Studies have shown that 1 out of 3 posterior polar cataract surgeries result in a ruptured posterior capsule. Here’s the … More

posterior polar cataract, resident cataract surgery, toric IOL

1200: small pupil toric IOL case

These are my pearls for implanting a toric IOL and achieving accurate alignment in small pupil cataract cases. These cases … More

small pupil cataract surgery, toric IOL

1196: newbie guide for toric IOL success

Using a toric IOL is an important skill for an ophthalmology resident to learn. This video gives pearls for learning … More

astigmatism, toric IOL

1172: anterior capsular tear in phaco

The lens capsular bag is fragile and very thin, with an anterior measurement of about 14 microns and a posterior … More

capsular tear, capsulorhexis

1136: Refractive Lens Exchange Surgery

For high degrees of hyperopia in presbyopic patients, the best surgical solution is refractive lens exchange. For a younger patient, … More

hyperopia, refractive lens exchange

1100: Very soft PSC cataract technique

This patient is young, under age 40, and has been suffering from posterior subcapsular cataracts for more than 1 year. … More

PSC cataract, soft cataract

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

1050: complete case: Toric EDOF IOL

This patient is a young man, in his 40s, with a history of cataract development over the last few years. … More

EDOF, toric

1017: complete case with dense endo-nucleus

This complete cataract cases features a younger patient who developed bilateral cataracts with a dense endo-nucleus. We also implant a … More

complete cataract case

999: Playlist: Toric IOLs

For the correction of astigmatism at the time of cataract surgery, toric IOLs can be an excellent option. The best … More

playlist, toric

Ruptured Posterior Capsule Recovery

This patient had uneventful cataract surgery in the first eye with placement of a toric trifocal IOL in the capsular … More

capsule rupture

Cataract Quiz: When did the break happen?

This patient has a relatively dense cataract and requires a toric IOL for 2 diopters of regular corneal astigmatism. When … More

cataract quiz

Incisional Techniques for Astigmatism

Cataract surgery can be our most powerful refractive surgery procedure, correcting high degrees of myopia, hyperopia, and even astigmatism (with … More

astigmatism

Toric IOL for Posterior Polar Cataracts?

We know that with posterior polar cataracts, there is a congenital weakness in the posterior capsule at the site of … More

cataract surgery, posterior polar cataract

Removing OVD from behind the IOL

Surgeons in training often ask, “Do I need to remove the viscoelastic from behind the IOL at the end of … More

cataract, cataract surgery

Pediatric Posterior Capsulorhexis

Our guest surgeon is Ike K. Ahmed MD from the Prism Eye Institute in the greater Toronto area. He is … More

ike ahmed, pediatric cataract, posterior capsulorhexis

resident toric IOL case double camera angles

Using double camera angles can help newer surgeons learn the nuances of surgery. This video shows a resident surgeon who … More

#cataract, #cataract surgery

Toric IOL use in Radial Keratotomy

We have featured many videos of cataract surgery in eyes with prior radial keratotomy. Many of these patients seek out … More

radial keratotomy, rk, toric

Toric IOL technique with a small pupil

The toric IOL is a great option to address astigmatism at the time of cataract surgery. For the toric IOL … More

#cataract

Toric IOL Alignment Dilemma

In this picture, all of these lines are at the 120 degree meridian, so how do you choose where to … More

Cataract Quiz: Where should you make the incision?

Our phaco incisions will induce an astigmatic change in the cornea and we can use that to help achieve a … More

Complete Case: Flomax & Toric IOL

Many of our CataractCoach.com readers have been asking for complete cases, shown from start to finish. There is a lot … 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

Resident Cataract Case #165 Evaluation

This video is submitted anonymously by a resident ophthalmologist who has completed 164 cataract surgeries so far. This case, his … 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

Cataract Surgery with Synechaie Lysis

Synechiae are adhesions of the iris to ocular structures which can cause issues of aqueous blockage, pupil dilation, and more. … More

Can we use a Toric IOL in Keratoconus?

Toric IOLs have the ability to neutralize corneal astigmatism at the time of cataract surgery to improve vision for our … More

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