Remember that you should trust your surgical judgment more than any machine. In this case, the toric guidance system gets … More
Category: Toric IOL
1950: toric IOL with prior 16-cut RK
I have so many radial keratotomy patients who are seeking cataract surgery, usually at least a couple every week (and … More
1949: Toric IOLs in Fuchs’ Corneal Dystrophy
can you use a toric IOL in cataract surgery if the patient has Fuchs’ corneal dystrophy?
1820: monocular with pseudo-exfoliation
Ophthalmologists are very familiar with pseudo-exfoliation syndrome since it makes the cataract surgery more challenging due to poor dilation or … More
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Pediatric Posterior Capsulorhexis
Our guest surgeon is Ike K. Ahmed MD from the Prism Eye Institute in the greater Toronto area. He is … More
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
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
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
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