When dealing with a white cataract, a central fibrotic plaque can make a standard capsulorhexis nearly impossible. After staining the … More
Category: unusual cases
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
2356: developmental cataract technique
This young patient has a developmental cataract which has worsened over the last year and now significantly obscures the patient’s … More
2345: IOL scaffold for Morgagnian cataract
The idea behind the IOL scaffold technique is to use the large 6 mm optic of the IOL as a … More
2333: the monocular patient mindset
Monocular patients are justifiably nervous with discussions about operating on their only good eye. These patients are worried that in … More
2325: cataract surgery in corneal ectasia
This patient has a complex ocular history which includes a high degree of axial myopia which was treated with LASIK … More
2321: ectopia lentis from homocystinuria
There are certain rare diseases, such as Marfan syndrome and homocystinuria, which lead to progressive zonulopathy with subluxation of the … More
2306: K-Pro kerato-prosthesis
The K-Pro (kerato-prosthesis) is a device intended for very complex cases of anterior segment reconstruction where a traditional corneal transplant … More
2303: double toric IOLs in the bag
Our podcast yesterday (the top podcast in all of ophthalmology) featured Dr Robert Weinstock where he described an unusual case … More
2296: artificial corneal endothelial implant
In our podcast from yesterday, Dr David Lockington explained how he has used an artificial corneal endothelial implant in complex … More
2269: intra-lenticular foreign body
This is a rare case that I have never personally experienced, but you may in the future. The patient reports … More
2247: enhanced corneal ectasia treatment
Yesterday’s CataractCoach Podcast featured Prof. Renato Ambrosio, Jr, MD, PhD who is a true world expert in corneal ectasia, keratoconus, … More
2244: the challenge of seclusio pupillae
This patient has a complex history: a 58-year-old woman with a history of severe non-infectious panuveitis, presenting with a non-dilating … More
2222: Quiz: what’s your approach?
This patient was sent to you for cataract surgery. What is going on here? What is your approach? Look carefully … More
2216: Implantable Mini Telescope IMT
This patient has severe macular degeneration which has rendered the central visual acuity to 20/200 or worse. Our guest surgeon … More
2207: cataract surgery with coloboma
In this tough case the patient has a visually significant cataract but also a congenital coloboma which you can see … More
2167: Hashtag suture to stabilize the IOL
This young patient has Marfan Syndrome and previously underwent pars plana vitrectomy and lensectomy for a dislocated crystalline lens with … More
2161: Quiz: What type of cataract is this?
This patient developed this condition over the past 6 months to 1 year and now presents to your clinic with … More