2025: seated upright phaco surgery

This patient has severe orthopedic spine issues along with other systemic medical conditions which prevent him from being in the … More

2020: removing calcified lens cortex

This is a very difficult cataract case: the anterior capsule is fibrotic and wrinkled and there is calcified cortex that … More

1989: anterior zonular attachment

This is a very rare case which I have seen in less than 1 out of 1000 cataract surgeries. This … More

1956: Morgagnian cataracts are challenging

A Morgagnian cataract is one where the cortex has completely liquefied and the remaining endo-nucleus is floating around in the … More

1936: corneal intacs intra-stromal ring segments

Surgeons have tried many techniques to address refractive errors by altering the cornea and there will likely be many more … More

1908: nanophthalmos & decompression

This patient has true nanophthalmos with an axial length of less than 20mm and a calculated IOL power of 67 … More

1907: asteroid hyalosis & cataract surgery

Asteroid Hyalosis is seen in about 1-2% of your cataract surgery patients and it is most often unilateral. These focal … More

1904: conductive keratoplasty CK cataract

More than 20 years ago, a new technology was unveiled to help address presbyopia: conductive keratoplasty (CK). This used electrical … More

1878: depot steroid implanted in the lens

This depot steroid device was supposed to be injected into the vitreous cavity, but it ended up inside the crystalline … More

1877: cataract with severe corneal pannus

This patient sustained a chemical burn to the ocular surface and then underwent a limbal stem cell transplant procedure for … More

1862: nanophthalmic eye cataract surgery

Experienced cataract surgeons know that the most challenging cataract cases are often the nanophthalmic eyes. These tiny eyes have a … More

1859: MSICS with iris & lens coloboma

This is a tough case of a dense cataract in a patient with an iris and lens coloboma. This means … More

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