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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: trauma

1842: ASCRS 2023 Course Case 2

On Sunday, May 7, 2023 we had our Best of CataractCoach.com course at the ASCRS meeting in San Diego. It … More

ASCRS, traumatic cataract

1840: PodCast 10: Fasika Woreta MD MPH

Dr Fasika Woreta is a professor at the Wilmer Eye Institute at Johns Hopkins University in Baltimore, Maryland, USA and … More

podcast

1836: phaco and irido-dialysis repair

This patient sustained ocular trauma years ago which resulted in the disinsertion of the iris root at the temporal aspect … More

iridoplasty, traumatic cataract

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

sutured IOL, weak zonular support

1712: fibrotic anterior capsule will not tear

This patient sustained ocular trauma which resulted in a white cataract as well as fibrosis of the anterior lens capsule. … More

fibrotic capsule

1705: recovering from iatrogenic iris damage

This is a very tough case and the iris prolapse and damage is considerable. This is the type of case … More

iatrogenic, iris damage, iris prolapse

1704: metallic intra-ocular foreign body

This patient sustained ocular trauma where a small, metallic foreign body penetrated the cornea and ended up inside the crystalline … More

foreign body, ruptured globe, traumatic cataract

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

iris damage, sutured IOL, weak zonular support

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

iris damage, sutured CTR, traumatic cataract, weak zonular support

1625: aqueous fluid misdirection syndrome

This is my video from the Cataract Spotlight session by Dr David Chang from the American Academy of Ophthalmology 2022 … More

fluidics, shallow AC, traumatic cataract

1554: traumatic cataract and macular hole

The eye is a very fragile organ and trauma can cause dramatic damage that can be challenging to repair. We … More

combined cataract and vitrectomy, pars plana, traumatic cataract

1551: challenging traumatic cataract

When dealing with a traumatic cataract, the extent of tissue damage is not always fully understood until the surgery begins. … More

CTR, traumatic cataract, weak zonular support

1529: prosthetic iris implantation

This patient sustained trauma which caused a cataract but it also resulted in permanent mydriasis with a pupil size of … More

iris damage, traumatic cataract

1528: open globe, failed graft, & cataract

This video is a series of three separate surgeries on the same patient, by the same surgeon, Dr Jimmy Hu … More

corneal transplant, ruptured globe, traumatic cataract

1527: resorbed cataract with zonular loss

This patient sustained trauma to his eye years ago and that resulted in a cataract which, over time, became liquefied … More

traumatic cataract, weak zonular support

1520: focal traumatic cataract

At the pre-operative consultation for this patient, it was unclear if there was capsular damage associated with this focal opacity. … More

traumatic cataract

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

iris damage, sutured IOL, traumatic cataract

1485: how I know zonular support is weak

Weak zonular support makes cataract surgery far more challenging and increases the potential risks such as vitreous prolapse, retained lens … More

capsular tension ring, traumatic cataract, weak zonular support

1438: intra-lenticular foreign body

Our guest surgeon is Asst. Prof. Christina Mamalis MD from the University of Texas in Houston, and she presents a … More

corneal foreign body, ruptured globe, white cataract

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

dislocated IOL, traumatic cataract

1413: ruptured globe cases x 2

This resident surgeon had a busy night on call with two ruptured globe cases presenting to the emergency department. The … More

corneal laceration, ruptured globe

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

capsular tension ring, IOL flange

1355: traumatic cataract from airbag

Car airbags have saved many lives but their explosive inflation can cause trauma particularly if the occupant is sitting too … More

traumatic cataract

1344: dislocated IOL and capsular bag

This patient presented to our teaching clinic with a history of blunt ocular trauma about six months prior. He stated … More

dislocated IOL

1319: traumatic cataract with iris damage

This patient sustained blunt trauma a few years ago which resulted in a cataract as well as damage to his … More

iris damage, traumatic cataract

1305: synechiolysis in traumatic cataract

These synechiae are adhesions of the iris to the anterior lens capsule and in this case, they are due to … More

synechiae, traumatic cataract

1283: The “I&A only” Soft Cataract

This young patient developed a cataract after trauma. Fortunately, the zonular support is great and the long term stability of … More

cataract surgery, I&A only, soft cataract

1262: cataract after intra-vitreal injection

In previous videos, we have warned against the issue of an intra-vitreal injection inadvertently hitting the lens capsule and causing … More

intra-vitreal injection, traumatic cataract, white cataract

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

1241: Resident ACIOL and Pupilloplasty

When you look at this post-op slit-lamp microscope photo, you may initially think that it looks less than ideal. But … More

ACIOL, pupilloplasty, resident cataract surgery

1232: traumatic loss of zonular support

This patient sustained severe ocular trauma that resulted in loss of more than 180 degrees of zonular support. He has … More

capsular tension ring, traumatic cataract, weak zonular support

1228: Quiz: what are these white opacities?

This is a quiz, so look closely at the above picture. This patient sustained a corneal laceration during a gardening … More

cataract quiz, ruptured globe

1222: traumatic cataract capsule fibrosis

Our guest surgeon has a very interesting case to share. This patient sustained a traumatic injury many years ago and … More

capsule scarring, fibrotic capsule, traumatic cataract, white cataract

1221: traumatic cataract lens penetration

This patient sustained a penetrating ocular injury about one year ago. He was working on a construction project and a … More

lens puncture, traumatic cataract

1144: white cataract intra-capsular surgery

Decades ago the standard cataract surgery was an intra-capsular cataract extraction. This involved making a large incision, injecting alpha chymotrypsin … More

weak zonular support, white cataract

1092: Traumatic Cataract Zonular Loss

Our guest surgeon Dr Vipul Arora from India presents a case of a traumatic cataract with sectoral zonular loss. This … More

CTR, traumatic cataract

1077: traumatic cataract & pupilloplasty

This patient sustained blunt trauma to his eye and then developed chronic mydriasis and a cataract with significant zonular loss. … More

CTR, pupilloplasty, traumatic cataract

1044: sutured capsule support device

Our guest surgeon is Dr. Atul Khadane from Amravati, India and he demonstrates the use of the Assianchor (developed by … More

capsule support, traumatic cataract

1043: intra-vitreal injection punctures lens

The most commonly performed ocular invasive procedure performed in the USA is the intra-vitreal injection, with many millions done per … More

intra-vitreal injection, traumatic cataract

1023: Foreign body capsule rupture

This patient sustained a serious ocular injury: a foreign body pierced the cornea, punctured the anterior lens capsule, and now … More

corneal foreign body, traumatic cataract

Capsular Tension Ring Placement

Our guest surgeon is Dr. Bhagyashri Deshmukh from Amravati, India and she is presenting a traumatic cataract case with a … More

capsular tension ring

Cataract Quiz: Zonular Dehiscence

Our guest surgeon is Dr Willie Kan from Malaysia and he presents a very tough case: a traumatic white cataract … More

cataract quiz, traumatic cataract

Playlist: Traumatic Cataract

The eye is a delicate organ and trauma can cause many challenges during cataract surgery. The more common issues include … More

playlist, traumatic cataract

Safety with Cannula Use – be careful!

Beginning surgeons do not always realize that the force created by using small 27g cannulas can be quite high. If … More

cataract surgery

Complete Case: Pressurized Cataract

This is an interesting case of a young patient, in his mid 40s, who sustained ocular trauma and developed a … More

cataract surgery

traumatic cataract with bulging capsule

This 23 year old patient was involved in an accident and developed bilateral traumatic cataracts. When we examine the patient … More

traumatic cataract

Ruptured Globe: Key Teaching Points

Every ophthalmologist must know how to manage a ruptured globe. In this case it is a corneal laceration with a … More

ruptured globe

How to Evacuate this Hyphema

This patient was struck in the eye with a Champagne cork, which was traveling at a high velocity and hit … More

Traumatic Cataract with Mydriasis: Part 2 Pupilloplasty

This patient suffered severe trauma as the result of an airbag injury from a car accident about one year ago. … More

Traumatic Cataract with Mydriasis: Part 1 cataract surgery

This patient suffered severe trauma as the result of an airbag injury from a car accident about one year ago. … More

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