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

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

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

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

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

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

1141: white cataract with coloboma

This patient has a lens coloboma with about three clock hours of missing zonular support. This can make the surgery … More

1138: my 100 year old cataract patient

This patient is 100 years old and she now has decided that she would like cataract surgery. Certainly we are … More

1131: Cataract Surgery in Ocular Albinism

Ocular albinism is rare, however just about every cataract surgeon will encounter at least one or two patients with this … More

1124: Pearls for learning MSICS

It may surprise you to know that many young ophthalmologists in the USA do not have experience performing MSICS. In … More

1101: Infant Lensectomy Technique

While congenital cataracts are rare, they must be identified very early in an infant’s life and then often surgically treated. … More

1100: Very soft PSC cataract technique

This patient is young, under age 40, and has been suffering from posterior subcapsular cataracts for more than 1 year. … More

1091: Dense Cataract and Nystagmus

Our guest surgeon is Dr Érico Jun Oda from Brazil and he demonstrates an expert level cataract surgery in a … More

1077: traumatic cataract & pupilloplasty

This patient sustained blunt trauma to his eye and then developed chronic mydriasis and a cataract with significant zonular loss. … More

1068: sutured capsular tension segment

This patient was born with a lens coloboma where part of the crystalline lens did not develop and there is … More

1049: four flanged IOL suture fixation

We have seen a lot of innovation with regards to IOL fixation to the sclera. There is the Yamane technique … More

1046: fixing anterior capsule fibrosis

Our usual way of dealing with fibrosis of the anterior lens capsule is to use a sharp instrument such as … More

1045: suturing the IOL to the CTR

Our guest surgeon is Dr. Val Apostolov from Amsterdam and he demonstrates a technique that I have never seen before: … More