1837: phaco & irido-zonulo-hyaloidectomy

This nanophthalmic eye has an axial length of less than 20 mm and is suffering from malignant glaucoma and aqueous … More

1807: annular cataract with scarred capsule

It is very unusual to see this type of annular cataract where the remaining lens material is in the shape … More

1785: centrally attached zonular fibers

This is an usual case where there are zonular fibers which are centrally attached onto the anterior lens capsule, so … More

1744: keratoglobus cataract surgery

Keratoglobus is a rare condition, so rare that I have never seen a patient with this condition in my career, … More

1725: coloboma with capsule rupture

Yesterday we featured a case of cataract surgery in a patient with a coloboma. And today we have another similar … More

1724: coloboma with zonular absence

Today and tomorrow we are featuring cases with congenital colobomas where there is an absence of part of the iris … More

1718: Marfan syndrome subluxed lens

Marfan syndrome patients develop a progressive zonulopathy with subluxation of the crystalline lens which leads to visual decline. While still … More

1717: bilateral phacomorphic glaucoma

This is a very unusual case of bilateral phacomorphic glaucoma where the swollen cataract caused the narrow angles to occlude. … More

1701: don’t just break synechiae, fix pupil

This patient had a prior history of anterior uveitis which resulted in the formation of synechiae from the iris to … More

1698: phaco trabeculectomy with leukoma

This is a very tough case because the patient has a long-standing corneal scar, a cataract, and glaucoma that is … More

1645: phacolytic glaucoma & synechiae

Our guest surgeon does a great job with a very difficult cataract surgery. The patient has phacolytic glaucoma where the … More

1640: anterior capsule plaque peeling

Our guest surgeon presents a case of a dense cataract where the cortical lens proteins broke down and caused a … More

1631: Marfan Case with Yamane IOL

In cases where the surgeon performs Yamane intra-scleral haptic fixation (ISHF) it is recommended that at least a partial anterior … More

1626: considerations for monocular patients

Of the overall cataract surgery volume, perhaps less than 1% of those patients are truly monocular and maybe less than … More

1615: micro-cornea and coloboma

This is a very unusual case where the patient has a micro-cornea and also a coloboma with associated zonular absence … More

1610: poly-pseudophakia 2 IOLs in 1 eye

Nanophthalmic eyes are among the most challenging when it comes to cataract surgery. There are additional risks and the working … More

1591: asteroid hyalosis of the vitreous

We have all seen it before: thousands of small, white, refractile bodies floating in the vitreous cavity with seemingly little … More

1568: technique for iris prosthesis

We recently featured a video of a prosthetic iris implant and some CataractCoach fans had pearls to make the procedure … 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

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

1491: creating a pupil for Axenfeld Rieger

Axenfeld Rieger syndrome is a rare condition where the iris and pupil do not develop correctly in utero and in … More

1489: corneal epithelial bubble

This patient developed a corneal epithelial bubble during cataract surgery. Why did this happen and what should you do now? … More

1469: open sky cataract surgery

There are times where you will want to perform a combination surgery of full-thickness corneal transplant and cataract surgery at … More

1458: phaco for a patient with tremors

I have previously featured a challenging cataract case for a patient with severe tremors due to systemic neurological disease. In … More

1455: cortex removal before nucleus removal

This video shows something that I have never previously seen before: removal of the lens cortex prior to removing three … More

1454: peeling off the pupillary membrane

This patient has a long history of prior uveitis / anterior iritis which caused synechiae where the iris became adherent … More

1453: Quiz: What is your next step?

This is a tough case where the nucleus is very dense and difficult to chop, but the bigger challenge is … More

1448: 3D viewing system in tough cases

Our guest surgeons from France have an innovative use of the 3D viewing systems to help patients with severe postural … More

1440: green reflex canine cataract surgery

This patient has an unusual eye when you compare it to what you are used to. That’s because the patient … More

1407: challenging uveitic cataract

This patient is monocular and has an opaque cataract that developed in the setting of chronic uveitis. This has cause … More

1375: cataract with silicone oil droplets

This complete cataract case features a patient who underwent a prior pars plana vitrectomy for a retinal detachment and then … More

1361: dislocated microspherophakia

While microspherophakia is a relatively rare condition, we have featured it here previously including a resident case. This case is … 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

1341: phaco in a trabeculectomy eye

Anytime we perform cataract surgery in an eye with prior ocular surgery, there are additional challenges. In eyes with prior … More

1327: nanophthalmic eye with flat AC

Our guest surgeons today teamed up to help complete this cataract surgery in a nanophthalmic eye. The axial length is … More

1299: cataract surgery in nanophthalmos

This patient has a very small eye with an axial length of just 15 mm. That makes the entire surgery … More

1294: capsulorhexis in a 5 year old child

The lens capsule changes in elasticity over our lives: it is far more elastic in youth than it is in … More

1290: uveitic cataract with synechiae

Our guest surgeon presents a patient with a long standing history of uveitis who has developed an opaque cataract. In … More

1270: resident microspherophakia

So you’re a resident in training and you watch these CataractCoach videos and think to yourself, “yeah, but when am … More

1269: chandelier lighting for a tough case

This is an extremely challenging cataract case because the view is so limited due to the corneal status. There is … More

1257: OSN NY Challenges with Akinesia

This talk is one of my lectures from the OSN NY 2021 meeting. This is the Ocular Surgery News meeting … More

1254: intra-nuclear stone formation

This patient has suffered from a dense white cataract for many years. During that time the lens cortex became liquefied … More

1233: microspherophakia surgery

Microspherophakia is a rare condition where the human crystalline lens takes on an unusual form: it is more spherical than … More

1210: How did this fragment get here?

Time for a cataract quiz. You are doing a seemingly routine cataract surgery and you experience no complications and in … More

1206: the soft and gummy cataract

When a cataract is very soft, such as in a younger patient with a posterior sub-capsular cataract, we can prolapse … More

1194: phaco use after IOL implanted

This is a tough case for a resident. A smaller pupil with a denser cataract and in an eye with … More

1176: cataract surgery in Fuchs’ dystrophy

You will certainly encounter patients with Fuchs’ dystrophy where the corneal endothelial cell layer becomes compromised. With loss of endothelial … More