1732: this white cataract is quite dense

We have previously explained that not all white cataracts are the same and that there is an entire spectrum of … More

1690: capsule rip extends to posterior capsule

This is a heartbreak of a case. The anterior lens capsule splits wide open with the classic Argentinian Flag Sign … More

1672: Where’s the milk?

Not all white cataracts are intumescent with pressurized capsular bags full of liquefied lens cortex. In some cases, like the … More

1655: massaging the intumescent lens

The liquefied lens cortex in an intumescent white cataract creates increased pressure within the capsular bag and this can lead … More

1648: cystotome needle decompression

This resident surgeon does a great job on this white cataract case where he performs needle decompression of the intumescent … More

1639: intumescent & pressurized cataract

Increasing lens thickness indicates danger in cataract surgery because liquefied lens cortex can pressurize the capsular bag, increasing the risk … More

1638: surprise zonular weakness

This resident surgeon does a good job with this tough case of a traumatic cataract. The intumescent liquefied lens cortex … More

1634: resident conquers the white cataract

A white cataract is a challenge for any surgeon, no matter how experienced, because the risks of potential complications is … More

1614: PXF, shallow AC, DWC, zonulopathy

This is a tough case with many challenges: pseudo-exfoliation syndrome, a shallow anterior chamber, a dense white cataract (with intumescence), … More

1583: pseudo-exfoliation with iris hooks

Our guest surgeon does a great job with this tough cataract case. The patient has an intumescent white cataract and … More

1580: phaco surgeon does great MSICS

Our guest surgeon is a very experienced cataract surgeon and an expert at phaco, but he has decided to perform … More

1579: phaco through small capsulorhexis

The double capsulorhexis technique is very useful for intumescent white cataracts because it allows us to safely decompress the capsular … More

1571: dense brunescent whitish cataract

I recently did LASIK surgery for a young patient, in his early 20s, who surprised me when he said that … More

1528: open globe, failed graft, & cataract

This video is a series of three separate surgeries on the same patient, by the same surgeon, Dr Jimmy Hu … More

1523: Zepto for intumescent cataracts

We have seen the videos before where the Argentinian Flag sign develops instantly as the anterior lens capsule splits uncontrollably. … More

1515: expert management of DWC

DWC stands for dense white cataract and in this case, that is exactly what we have. In addition, the anterior … More

1513: white cataract with fibrotic capsule

Our expert surgeon today shows us an approach to a white cataract with a fibrotic anterior lens capsule. This will … More

1472: ASCRS case 3: rock the nucleus

Rocking the nucleus is an important step for intumescent white cataracts because it allows the liquefied cortex that is behind … More

1471: ASCRS case 2: white cataract tricks

Our next case from the ASCRS CataractCoach instructional course showcases the ways to minimize the risks involved with intumescent white … More

1465: MSICS: bailout for rhexis runout

MSICS can be a great way to rescue a very difficult case. We recently presented a video of a master … 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

1438: intra-lenticular foreign body

Our guest surgeon is Asst. Prof. Christina Mamalis MD from the University of Texas in Houston, and she presents a … More

1436: recover from Argentinian Flag Sign

The complication of uncontrolled splitting of the anterior lens capsule in an intumescent white cataract is something that all cataract … More

1417: Morgagnian cataract with lens milk

The liquefied lens cortex in this cataract looks like milk and it seeps out of the capsular bag when the … More

1415: white cataract needle decompression

For intumescent white cataracts, it can be helpful to decompress the capsular bag using a needle and aspiration/suction from a … More

1414: white cataract, small capsulorhexis

A small capsulorhexis can pose a big challenge during cataract surgery. Keep in mind that a typical human cataractous crystalline … More

1402: phaco-section in MSICS

We have already explained the benefits of learning MSICS (manual small-incision cataract surgery) and I always encourage my USA colleagues … More

1387: Zepto Precision Pulse Capsulotomy

The Zepto device uses a brief pulse of electricity to instantly create a precision capsulotomy in the anterior lens capsule. … More

1351: techniques for white cataracts

This is the talk that I am giving today, Monday, January 17, 2022 at the Hawaiian Eye meeting. It’s a … More

1345: capsulorhexis split – now what?

This patient has a white cataract and this resident is able to perform a successful capsulorhexis after staining with trypan … More

1334: cataract surgery under 3 min but…

This anonymous surgeon is very talented and has done thousands of cataract surgeries. This surgeon is able to complete his … More

1324: even smaller incision MSICS

In this video our guest surgeon bisects the nucleus in the anterior chamber before manually extracting each half, thus allowing … More

1303: white cataract double capsulorhexis

This video shows the use of 23g or 25g forceps to create the capsulorhexis via the paracentesis incision. This allows … More

1263: double hook pre-chop technique

Our guest surgeon, Dr Érico Jun Oda from Brazil, does a great job with this surgery. Using just two hooks … More

1262: cataract after intra-vitreal injection

In previous videos, we have warned against the issue of an intra-vitreal injection inadvertently hitting the lens capsule and causing … 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

1240: resident double rhexis technique

For a white cataract, particularly a pressurized and intumescent white cataract, the double capsulorhexis technique is very helpful to avoid … More

1222: traumatic cataract capsule fibrosis

Our guest surgeon has a very interesting case to share. This patient sustained a traumatic injury many years ago and … More

1220: white cataract phaco puncture

This is a resident case of an intumescent white cataract. We have covered this topic many times and the theme … More

1211: white cataract drops into vitreous

Our guest surgeon presents a case of a surprise complication when the white cataract falls into the vitreous cavity. He … More

1183: Beware of Sensory Exotropia

This patient has more than just a white cataract and you will need to step back from the slit-lamp microscope … More

1173: phaco aspiration of lens milk

Intumescent white cataracts can pose a problem with capsulorhexis creation. This is because the cortex has liquefied and pressurized the … 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

1150: white cataract with iridoplasty

This patient was undergoing cataract surgery by a novice surgeon who ran into trouble right at the beginning of the … More

1145: white cataract anterior capsule tear

This patient has a dense white cataract and it is also intumescent in nature. There is sufficient pressure within the … 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