2845: white cataract after intra-vit injection

An intra-vitreal injection that accidentally punctures the posterior lens capsule often triggers an acute traumatic white cataract. This occurs because … More

2844: cornea & lens capsule laceration

This video features a ruptured globe with the trauma consisting of a sharp metal object which caused a laceration to … More

2831: opening a collapsed bag for the IOL

Opening a collapsed, fibrosed capsular bag months after cataract extraction requires meticulous viscodissection and controlled fibrosis release. A dispersive viscoelastic … More

2830: Quiz: What is this line near the iris?

Time for another CataractQuiz, our series where we test your knowledge and skills by showing you a title pic and … More

2821: severe trauma eye reconstruction

Management of high-grade traumatic iridodialysis requires meticulous surgical intervention to mitigate the functional morbidity such as debilitating photophobia. Our goal … More

2814: slit-lamp ruptured globe repair

Is it reasonable to repair a ruptured globe at the slit-lamp microscope in this case? The patient has a blind … More

2796: traumatic cataract with tough surprise

Happy New Year to the CataractCoach fans and family! Traumatic cataracts present a unique surgical challenge because the full extent … More

2793: solar eclipse sign indicates zonulopathy

One of the most subtle yet important intraoperative clues to zonular weakness is the presence of a crescent-shaped, abnormally bright … More

2787: IOL suspension Gore-tex suture loop

Our guest surgeon does a great job with this very tough case. The patient sustained severe ocular trauma and now … More

2782: cannula ejection causes damage

A 27-gauge cannula can be inadvertently ejected from a pressurized syringe during cataract surgery when excessive force is applied to … More

2762: pinhole pupilloplasty in corneal trauma

Dr. Amar Agarwal’s pinhole pupilloplasty offers an elegant optical solution for patients with severe corneal scarring, where traditional refractive correction … More

2747: metallic foreign body induced cataract

Traumatic cataracts resulting from a penetrating injury, such as this case of a metal wire perforating the cornea and lens … More

2734: zonular loss and vitreous prolapse

This is a very tough case of a traumatic cataract with zonular loss and vitreous prolapse into the anterior chamber. … More

2721: resident case with prior lens puncture

The key to this case is making your capsulorhexis the normal size in 3 quadrants but then enlarging it to … More

2719: traumatic cataract with zonular loss

This is a very tough case because of the prior trauma which has resulted in severe zonular loss and a … More

2704: cataract after ruptured globe repair

Performing cataract surgery in an eye with a recent corneal laceration and a lacerated anterior lens capsule requires careful surgical … More

2688: intra-lenticular foreign body

This patient sustained an open globe injury where a metallic foreign body pierced the cornea and the lens capsule and … More

2671: cataract after penetrating ocular injury

In a patient presenting for cataract surgery one year after a penetrating injury with a metal wire through the limbus, … More

2620: two very challenging cataract cases

Our guest surgeon is Professor Ramesh Ayyala and in this video he presents two tough cataract cases which were performed … More

2607: How to evacuate a hyphema

We have all seen cases of hyphema, bleeding in the anterior chamber of the eye, due to trauma. In many … More

2565: traumatic cataract with dye leak

This patient sustained an ocular injury which resulted in a traumatic cataract with zonulopathy. In these cases, my first step … More

2558: corneal laceration & lens puncture

As surgeons, we love the challenge of a traumatic case because of the added complexity and the problem solving nature … More

2544: Quiz: Why the sudden cataract?

Time for another CataractQuiz™: Why did this patient suddenly develop a white cataract? This is a 65 year old construction … More

2534: fixing severe zonular loss

Our guest surgeon does a fantastic job with this very difficult cataract case. You can see in the title picture … More

2528: traumatic zonulopathy & mydriasis

Traumatic eye injuries can be very challenging because often we do not know the full extent of the damage until … More

2516: tough cataract with corneal scar

This patient had a prior pterygium surgery which did not go so well. It resulted in a corneal perforation and … More

2496: Rosatelli spin for a soft cataract

Our guest surgeon does a great job with this case using the nucleus spinning technique made famous by Dr Neto … More

2473: Quiz: Why the sudden cataract?

Another CataractQuiz™ for you: This younger patient (age 30-40) developed a cataract suddenly over the course of a few days. … More

2432: fix zonular loss with CTS + Goretex

This is a tough case of a traumatic cataract with about half of the zonular support being compromised (6+ clock … More

2424: GATT for angle recession glaucoma

When I receive videos, I click through them quickly to see the case, but I wait until I’m recording my … More

2415: traumatic cataract & fibrotic capsule

With trauma, you never know exactly what you are going to get. Look carefully at this photo and you can … More

2408: ocular surface transplantation

Yesterday we featured Dr Edward Holland on our CataractCoach Podcast — the top podcast in all of ophthalmology. He is … More

2398: white cornea and white cataract

This patient sustained penetrating ocular trauma in the past which resulted in a corneal leukoma and a white cataract with … More

2392: reconstruction after alkali burn

This patient sustained an ocular surface alkali burn which resulted in severe loss of vision, symblepharon formation, and corneal damage. … More

2387: surgical repair after knife to the eye

This is a case of severe trauma where a patient was stabbed in the globe/orbit with a serrated kitchen knife. … More

2360: cataract surgery after ruptured globe

This patient sustained a ruptured globe injury years prior and now presents with a cornea scar, irregular pupil, and a … More

2342: traumatic cataract in a 9 year old

It is always a challenge to deal with trauma in a pediatric patient. Their tissues are different and the result … More

2335: ruptured globe needle penetration

This patient sustained an ocular injury where a needle / wire penetrated the central cornea and the crystalline lens. This … More

2285: traumatic cataract with iridodialysis

Traumatic cataracts are challenging because we are not often aware of the full extent of the damage to the delicate … More

2256: Quiz: Where is the red reflex?

Time for another Cataract Quiz: You are doing phaco for this patient with a traumatic white cataract and everything seems … More

2254: traumatic pediatric cataract

This young patient sustained penetrating ocular trauma which resulted in perforation of the cornea as well as the lens capsule. … More

2188: Best of Cataract Coach: Case 3

Case 3. We had an amazing turnout at our Best of Cataract Coach instructional course at the ASCRS meeting in … More

2158: How to fix this traumatic cataract?

You cannot fully undo trauma, especially when it comes to the eye and delicate ocular structures. This patient sustained ocular … More

2129: how I handle a fluffy white cataract

In yesterday’s video (number 2128) we saw that using the phaco probe to apply ultrasonic energy to a soft, fluffy … More

2128: soft white cataract with PC rupture

This patient has a soft white cataract from prior trauma and now it is time for cataract surgery. Look carefully … More

2111: white cataract after ruptured globe

This patient sustained a penetrating corneal injury which was repaired surgically with two sutures. Fortunately, this corneal laceration is paracentral … More