3028: dense asteroid hyalosis

3028: dense asteroid hyalosis Encountering extremely dense asteroid hyalosis during cataract surgery raises an important clinical question: should we perform … More

3020: early surgery for anterior lenticonus

3020: early surgery for anterior lenticonus Anterior lenticonus, a classic manifestation often associated with Alport syndrome, presents distinct surgical challenges … More

3018: bilateral anterior segment dysgenesis

3018: bilateral anterior segment dysgenesis Navigating cataract surgery in the setting of bilateral anterior segment dysgenesis presents a true 10/10 … More

3011: An unusual case of iridoschisis

3011: An unusual case of iridoschisis Iridoschisis is a rare anterior segment pathology characterized by the separation of the anterior … More

3007: Artificial iris with strategic cut-outs

3007: Artificial iris with strategic cut-outs Managing a patient with aniridia requires a highly customized approach to anterior segment reconstruction, … More

2991: cataract surgery in keratoglobus (Ehlers Danlos Syndrome)

2991: cataract surgery in keratoglobus (Ehlers Danlos Syndrome) In this extraordinary case, our guest surgeon tackles cataract surgery in a … More

2964: fixing a closed pupil from uveitis

2964: fixing a closed pupil from uveitis This case presents a severe case of pupillary occlusion (seclusio and occlusio pupillae) … More

2955: micro-spherophakia cataract case

2955: micro-spherophakia cataract case What are your surgical strategies when managing a cataract in an eye with microspherophakia? In this … More

2949 opaque cornea with a surprise inside

2949: Opaque cornea with a surprise inside Operating on an eye with an opaque cornea is challenging enough, but sometimes … More

2941: succeeding with challenging K-Pro cases

The Boston K-Pro provides a revolutionary solution for patients suffering from repeated corneal graft failures or severe ocular surface disease. … More

2937: peeling a posterior capsule plaque

Peeling a posterior capsule plaque is a high-stakes maneuver that requires a delicate touch and steady nerves. These plaques are … More

2936: uveitic cataract with collapsed AC

Performing cataract surgery in a uveitic eye with a collapsed anterior chamber is one of the most demanding scenarios in … More

2934: ectopia lentis et pupillae

Ectopia Lentis et Pupillae is a rare, autosomal recessive condition primarily linked to mutations in the ADAMTSL4 gene located on … More

2921: aspirate and the cataract disappears

Performing surgery on a 21 year old with a mature white cataract requires a different mindset than your typical elderly … More

2919: Quiz: What is going on with this eye?

When you encounter a Morgagnian cataract, the cortex has completely liquefied, allowing the dense nucleus to sink to the bottom … More

2905: dissecting a lens fibrotic membrane

When dealing with a white cataract, a central fibrotic plaque can make a standard capsulorhexis nearly impossible. After staining the … More

2900: missing CTR in nanophthalmic eye

Operating on a nanophthalmic eye with a 14 mm axial length is one of the most challenging scenarios in ophthalmic … More

2881: Parkinson’s disease & cataract surgery

Managing a cataract patient with Parkinson’s disease and active tremors requires a strategic approach to physical and ocular stability. Rather … More

2872: KPro retro-prosthetic membrane

A retro-prosthetic membrane is a common complication following Boston Keratoprosthesis (KPro) implantation, where a fibrous tissue layer forms behind the … More

2871: cataract surgery with Kamra corneal inlay

Performing cataract surgery in an eye with a Kamra corneal inlay requires managing a physical obstruction in the surgeon’s line … More

2851: AC whiteout from phacolytic glaucoma

Patients sometimes ask if cataract surgery is absolutely required right now and the answer for the vast majority of patients, … More

2849: lens coloboma with deformed capsule

Surgery for a congenital lens coloboma is challenging because the deformed capsular bag can lack focal, essential structural support. In … More

2835: Extensive Lens Coloboma

Performing cataract surgery in the presence of a lens coloboma with 180° of zonular absence requires a careful approach to … More

2832: capsular bag full of rocks!

This case features a dense white cataract where intra-lenticular stone formation happens resulting in small, dense rocks in side the … More

2823: Soemmering’s Ring Removal

A Soemmering’s ring is a postoperative finding characterized by a doughnut-shaped proliferation of residual lens epithelial cells and cortical fibers … More

2718: uveitis white cataract & synechiae

Performing cataract surgery in an eye with chronic uveitis presents a triple challenge: a fragile blood-aqueous barrier, dense posterior synechiae, … More

2809: cataract with persistent fetal vasculature

Cataract surgery in a child with Persistent Fetal Vasculature (PFV) is surgically demanding due to the presence of a retrolental … More

2781: sudden choroidal hemorrhage

Managing a sudden choroidal hemorrhage during this Boston K-Pro surgery requires immediate control of intraocular pressure and rapid stabilization before … More

2765: phaco with intra-corneal ring segments

Managing cataract surgery in an eye with prior corneal intra-stromal ring segments, such as Intacs, requires careful preoperative evaluation and … More

2761: operating on an eye with nystagmus

If you are an expert cataract surgery with thousands upon thousands of cases of experience, you may be tempted to … More

2760: standing Ahmed glaucoma valve

This patient has multiple systemic medical issues and cannot lie supine for ophthalmic surgery. In this case the patient needs … More

2739: severe anterior staphyloma

There are unusual cases which require incredible surgical skill such as this complex case of a young patient with Axenfeld-Rieger … More

2725: how to perform an evisceration

This video is tough to watch for an anterior segment surgeon. There are rare cases where we need to perform … More

2717: Should you keep or remove this phakic IOL?

Our guest surgeon is very talented surgically and manages to perform a beautiful cataract surgery in a patient while operating … More

2703: lens milk leaks into vitreous cavity

In intumescent white or Morgagnian cataracts, the liquefied lens cortex, often referred to as milky lens fluid, can sometimes migrate … More

2657: Quiz: Why did this happen? Help us!

We need your help. With the collective minds and experience of thousands of ophthalmologists, I trust that we can solve … More

2655: eroding seton, iris prolapse, high IOP

This is a very tough case where a patient previously had an Ahmed Glaucoma Valve seton placed and it is … 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

2563: Cataract in Axenfeld-Rieger Syndrome

A century ago, Dr Axenfeld described a series of patients with congenital abnormalities of the anterior segment of the eye … More

2549: head movement with cervical dystonia

While the degree of cataract in this video is not so challenging, the actual surgery is very difficult due to … More

2527: three very tough monocular cases

Being a cataract surgeon is stressful and every patient demands a perfect outcome. The most challenging cases are often those … More

2523: lensectomy in a 14 month old baby

This patient is just 14 months old and presents with a total white cataract in one eye. Hopefully this was … 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

2408: ocular surface transplantation

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

2405: pars plana posterior capsulotomy

This patient has a dense posterior capsule opacity and also has a small pupil which does not dilate with maximal … More

2394: artificial iris for ICE syndrome

This patient has a rare condition called ICE syndrome which is irido-corneal endothelial syndrome which affects unilaterally. This iris is … 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

2367: nanophthalmic eye challenges

We all love performing cataract surgery on average eyes because we know what to expect: an average IOL power, average … More