The lens capsular bag is fragile and very thin, with an anterior measurement of about 14 microns and a posterior … More
Category: Toric IOL
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
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
Choosing Toric IOL Steps
For toric IOLs, we need to select the best spherical power as well as the ideal toric step. What is … More
Review: Understanding Purkinje Images
Intra-ocular lens implants which are well-centered can provide better quality of vision for our cataract surgery patients. In the ideal … More
Toric IOL with intra-operative aberrometer use
Guest Expert John Hovanesian MD implanting a Toric IOL with aberrometer guidance Dr. Hovanesian is a well-known and much respected … More
For a Dense Cataract should we fix the astigmatism?
This patient has a dense, white cataract with a pre-op vision of just Counting Fingers at 1 meter (CF at … More
Does age make a difference in IOL surgical planning?
We have some amazing surgical technology now with IOLs that give a wide range of vision and can even help … More
Switching from a Toric IOL to a spherical sulcus IOL
We recently featured a four-part series of a single, complicated cataract case in which the phaco probe punctured the posterior … More
Posterior Capsule Break with a Toric IOL in the bag
The posterior capsule sustained a break during phaco which was near the capsular bag equator and not immediately noticeable to … More
Collapse of the capsular bag during cortex removal
This is a continuation of the case from yesterday, you can review it here. In that case, the phaco probe … More
We must Align and Center a Toric Diffractive IOL
With new technology IOLs, we have the ability to address corneal astigmatism as well as provide a wide range of … More
Would you implant a CTR: Capsular Tension Ring?
This challenging cataract case has loose zonular architecture globally, not focally. There is no prior trauma and there is not … More
Prevent posterior extension of a capsular break
This is a resident case that you really must learn from, even if you are an expert. During nucleus removal … More
Quiz: Should you implant a Toric IOL in this eye?
The patient is 70 years old and the corneal scar of the left eye is about 80% depth within the … More
Complete Toric IOL Case: from Marking to Alignment
Toric IOLs allow us to surgically treat corneal astigmatism at the time of cataract surgery thereby providing our patients with … More
Phaco Chop with Surgeon-Loaded Toric IOL
Yesterday’s video was a complete toric IOL case from marking to alignment, however the IOL was loaded by the technician … More
Using Purkinje Images for IOL Centration
Intra-ocular lens implants which are well-centered can provide better quality of vision for our cataract surgery patients. In the ideal … More
Routine Toric Case with Surgeon-Loaded IOL
Again, time to learn from a routine case — this is the type of case that is your “bread … More
Basics of Limbal Relaxing Incisions (LRIs)
Every incision that is made in the cornea has an effect on its shape and therefore the astigmatism. For a … More
Beginning Surgeon Cataract Case Analysis
Becoming proficient at cataract surgery is not easy and the learning curve is quite steep, particularly at the beginning. We … More
Step-by-Step Technique for Toric IOLs
Toric IOLs can provide the added benefit of addressing astigmatism at the time of cataract surgery. They are available in … More
Alignment and Centration of Toric Multi-Focal IOLs
[From CataractCoach.com] New technology has given us the ability to address corneal astigmatism and presbyopia with a toric multi-focal IOL. … More
Cataract Surgery with Phakic IOL Removal
In one sitting, we can explant the phakic IOL, remove the cataract, and correct the refractive error, including the astigmatism. … More
On-Axis Paired Incisions for Astigmatism
Don’t have a toric IOL? Try this technique to help address astigmatism at the time of cataract surgery.
Successful Posterior Polar Cataract Surgery
Studies have shown that 1 out of 3 posterior polar cataract surgeries result in a ruptured posterior capsule. Here’s the … More
Approach to the Dense Brunescent Cataract
With Increased Nuclear Density comes Increased Risks Here is how to successfully approach these tough cataract surgery cases: Patients with … More