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