Anterior segment reconstruction in an eye with an opaque cornea and dense cataract is one of the most complex procedures … More
Category: Uncategorized
2790: fibrotic anterior lens capsule
Managing a dense, brunescent cataract complicated by anterior capsule fibrosis requires careful modification of standard phacoemulsification techniques. The dense nucleus … More
2742: Case 200 and already doing chop!
Cataract surgery is a skill that continually evolves, and among the most empowering techniques an ophthalmologist can master is phaco … More
2728: Malyugin rings can be traumatic
The Malyugin ring is an effective tool for pupil expansion during cataract surgery, but its use can sometimes lead to … More
2722: Podcast 134: Gustavo Hüning MD
Our guest today, Dr Gustavo Hüning, is an outstanding surgeon who does cataract surgery, retina surgery, and also surgical repair … More
2670: the chopper broke during surgery!
You are a resident doing cataract surgery and when you try to withdraw your chopper from the paracentesis, the tip … More
2656: Rosatelli Spin and wedge fracture
The Rosatelli Spin is a surgical maneuver used during cataract surgery to facilitate nucleus rotation within the capsular bag to … More
2651: “My worst post-op day 1 ever”
Imagine a case that is so taxing that the nucleus drops in a monocular patient, but then it gets even … More
2644: Case 600 for a new graduate
The learning curve for cataract surgery is steep and prolonged, reflecting the complexity of the procedure and the fine motor … More
2602: experienced surgeon learns chop
Our guest surgeon sent this video to us with the request for pointers to better learn phaco chop. I clicked … More
2567: a dull keratome is not worth the risk
Today we are featuring a resident case where the video is shown at 2x speed since the surgical time is … More
2526: Podcast 106: Malik Kahook MD
Our guest is Dr Malik Kahook who is a professor, surgeon, scientist, and inventor (with 80+ patents in ophthalmology!) at … More
2517: the basics of using iris hooks
When you have a patient with a small pupil, keep in mind that the iris tissue is very delicate and … More
2493: very dense cataract with zonular loss
This patient presents with a decade long history of very poor vision out of one eye. While there is no … More
2357: graduating from divide & conquer
I think that performing the divide and conquer technique of nucleo-fractis during cataract surgery is great and there are some … More
2339: flipping up the epi-nuclear shell
During phaco we often get separation of the endo-nucleus from the epi-nuclear shell. This can be intentional such as with … More
2336: resident’s first pupil expansion ring
The goal of residency is not the diploma that we so proudly display on our clinic walls, but rather it … More
2319: Quiz: What happened to the ACIOL?
Our CataractQuiz™ series is among the most popular type of video we have on CataractCoach™ and today is a great … More
2317: CAIRS surgery for keratoconus & ectasia
It is tough to treat keratoconus and corneal ectasia because of the irregularity induced by these conditions and the weakness … More
2289: scleral suture fixation of a toric IOL
This patient had trauma which resulted in a ruptured globe as you can see from the large corneal laceration which … More
2287: Case 71 for a senior resident
Now you may be thinking, “Wait a minute, didn’t CataractCoach just feature a resident case 71 video last week?” And … More
2284: Quiz: What is this dark crescent?
The CataractQuiz™ series here on CataractCoach™ is among the most popular category of videos that we publish. If you just … More
2279: achieving surgical efficiency
We have covered the topic of surgical efficiency many times and we have an entire category devoted to it. Efficiency … More
2273: resident’s 40th cataract case
Time to help a young resident improve cataract surgery skills by giving sage advice based on this video. This is … More
2272: damaged caused by a pupil ring
A very wise professor once told me, “Every surgery is just another opportunity for you to face grief.” That grief … More
1977: combo phaco & BANG goniectomy
BANG procedure (bent ab-interno needle goniectomy)
1473: ASCRS case 4: many chop variations
The most common email that I get from CataractCoach subscribers is asking how to learn phaco chop. If you have … More
1424: cataract after ruptured globe injury
This patient sustained a ruptured globe injury starting in the center of the cornea and extending to the inferior limbal … More
1185: MIGS made easy – glaucoma
I love to watch surgery videos and while browsing through some glaucoma content, I came across this video. MIGS made … More
Full List of All Videos by Category
Here is a complete list of all videos sorted by category. This list will be continuously updated as we post … More
The Importance of Networking with your Colleagues
While the professor:resident and mentor:fellow relationships are very valuable for learning in the early stages of your career, you will … More
Pearls for Using Iris Hooks to Expand Small Pupils
Sometimes, the best approach to expanding a small pupil for cataract surgery is to use iris hooks. These are small, … More
If your incision has bad construction, try again
As you are making your phaco incision, judge the architecture and if it is not good, then stop and do … More
Controlled IOL delivery during Cataract Surgery
In the past few days we have shown cases where the IOL delivery was less than ideal. This resulted in … More
How important is Capsule Polishing in Cataract Surgery?
In modern day cataract surgery, we remove the lens material which keeping the capsular bag to hold the IOL. How … More
Making the Capsulorhexis without a Cystotome
The classic teaching is to use a cystotome (a sharp, bent 25ga or 27ga needle) to puncture the anterior lens … More
Wait! Is the Posterior Capsule Ruptured?
In this video which was submitted anonymously, the guest surgeon had a routine case with an intact capsulorhexis. But then … More
Little Technique to Rescue a Runout Capsulorhexis
The first time that I saw Brian Little, FRCS, FRCOphth demonstrate the technique for rescuing a runout capsulorhexis, I was … More
Poor Draping leads to more Complications
This case should be a routine, straightforward surgery with a low chance of complications. But that changes when the draping … More
Avoiding Iris Prolapse when Sealing the Incision
When doing cataract surgery in patients with floppy iris syndrome, the iris has a tendency to prolapse via the phaco … More
Tips & Tricks for Using Pupil Expansion Devices
While I don’t use them often, pupil expansion devices such as the Malyugin ring, are useful when performing cataract surgery … More
IOL Calculations in Ultra High Myopia
Most people consider high myopia to be about -10 diopters or greater. We have covered this topic extensively in the … More
Cataract Surgery is always Teamwork
When we watch videos of cataract surgery it seems like a solo act by the surgeon. While the surgeon is … More
Corneal Laceration with Ruptured Lens Capsule
At our busy UCLA-affiliated teaching hospital, Olive View-UCLA Medical Center, we frequently get severe ocular trauma including ruptured globes. We … More
Congratulations new ophthalmology graduates: Are you ready for your first job?
The academic year in the US ends on June 30, which means that every July a new group of about … More
Sneak Preview: 4-point Scleral Sutured IOL
One surgeon cannot be a master of all. Often, teamwork with colleagues can provide the best results for our patients … More
Phaco Flip and Chop Technique
The phaco flip technique is when the nucleus is prolapsed out of the capsular bag and then emulsified at the … More
