2011: Quiz: What is the zonular status?

Time for a Cataract Quiz: Look carefully at this title photo and ask yourself, “Why is this clear crescent visible … More

1983: trauma, hyphema, & iris damage

We know that you cannot undo trauma. No matter how talented the surgeon and no matter the part of the … More

1967: behind the scenes traumatic cataract

Our podcast guest yesterday was Dr Brandon Ayres from the Wills Eye Hospital in Philadelphia, USA and explained his stepwise … More

1934: combined IOL + iris prosthesis

This is a novel device that combines an artificial iris with an IOL in order to address aphakia and aniridia … More

1932: traumatic cataract with iris damage

Let’s thank this anonymous surgeon for doing a good job helping this patient who suffered from a traumatic cataract and … More

1922: traumatic mydriasis & dislocated IOL

This patient had an intra-ocular foreign body which necessitated a pars plana vitrectomy along with lensectomy and IOL placement. Now … More

1878: depot steroid implanted in the lens

This depot steroid device was supposed to be injected into the vitreous cavity, but it ended up inside the crystalline … More

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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