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Cataract Coach™

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: unusual cases

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

anterior vitrectomy, capsule rupture, coloboma

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

coloboma, weak zonular support

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

marfan, weak zonular support

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

glaucoma, phacomorphic

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

pupilloplasty, synechiae

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

corneal scar, glaucoma, trabeculectomy

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

challenging cataract, glaucoma, synechiae

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

capsule scarring, fibrotic capsule

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

marfan, yamane

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

complete cataract case, monocular patients

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

coloboma, micro-cornea

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

2 IOLs, cataract surgery, hyperopia

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

asteroid, cataract surgery

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

iris damage

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

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

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

pupilloplasty, unusual case

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

corneal phaco incisions

1488: Fuchs Dystrophy with EDOF IOL

In the past, I was reluctant to implant an EDOF (extended depth of focus) IOL in patients with corneal issues. … More

EDOF, fuchs

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

cataract surgery, corneal transplant

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

cataract surgery, tremor

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

cataract surgery, cortex, unusual case

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

complete cataract case, pupilloplasty, uveitis

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

brunescent, capsular tension ring, dense cataract, weak zonular support

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

microscope, unusual case

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

canine cataract surgery, white cataract

1422: IOL surgery for ectopia lentis

While having a dislocated crystalline lens is a rare occurrence, it can pose surgical challenges due to the lack of … More

sutured IOL, weak zonular support

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

small pupil cataract surgery, uveitis

1389: posterior capsulorhexis optic capture

Our guest surgeon performs cataract surgery for this 5 year old child with galactosemia and he uses pearls learned from … More

posterior capsulorhexis

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

complete cataract case, silicone oil

1361: dislocated microspherophakia

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

microspherophakia, vitrectomy

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

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

glaucoma, trabeculectomy

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

combined cataract and vitrectomy, nanophthalmos

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

cataract surgery, nanophthalmos

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

capsulorhexis, pediatric cataract

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

synechiae, uveitis

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

microspherophakia, resident cataract surgery

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

corneal scar, unusual case

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

akinesia, OSN NY

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

dense white cataract

1233: microspherophakia surgery

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

microspherophakia

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

cataract quiz

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

soft cataract

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

small pupil cataract surgery, unusual case

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

complete cataract case, fuchs

1171: pigment dispersion syndrome

Pigment dispersion syndrome is a condition where iris pigment is dispersed throughout the anterior segment of the eye via the … More

cataract surgery, pigment dispersion

1163: phaco behind the corneal scar

When a corneal scar limits the visualization, how can you still complete the cataract surgery in a safe manner? And … More

cataract surgery, corneal scar

1151: white cataract and uveitis synechiae

This patient has a long standing history of uveitis which has resulted in synechiae between the iris and the anterior … More

pupil ring, uveitis, white 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

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