In the management of an intumescent white cataract, some surgeons like to use the femtosecond laser to create a the … More
Category: White Cataracts
2921: aspirate and the cataract disappears
Performing surgery on a 21 year old with a mature white cataract requires a different mindset than your typical elderly … More
2920: small pupil case with a surprise
99% of ophthalmologists (including me!) will not be able to figure out the surprise from this picture. If you want … More
2905: dissecting a lens fibrotic membrane
When dealing with a white cataract, a central fibrotic plaque can make a standard capsulorhexis nearly impossible. After staining the … More
2894: How do you save the capsule now?
Recovering from the Argentinian Flag Sign The Argentinian Flag Sign is a classic surgical challenge where high intra-lenticular pressure causes … More
2893: MSICS with Severe Zonulopathy
MSICS: Managing Total Bag Loss and ACIOL Placement When performing Manual Small-Incision Cataract Surgery (MSICS) on a dense white cataract, … More
2888: Quiz: Why is there a blue reflex?
This is a very easy CataractQuiz™ (click to see the whole series): Once the cataract is removed you see this … More
2880: small anterior segment angle closure
Operating in an eye with a history of angle closure and a shallow anterior chamber presents a significant crowded environment. … More
2874: Morgagnian cataract with zonulopathy
A Morgagnian cataract (named after Giovanni Morgagni the Italian father of anatomic pathology from the 1700s!) represents a very late … More
2857: another thick fibrotic lens capsule
Cutting Through the Resistance: Micro-Scissors Rhexis When the anterior capsule is so heavily fibrotic or calcified that it behaves more … More
2856: capsulorhexis with fibrotic lens capsule
The Fibrotic Challenge: Vitrectorhexis When you encounter a calcified or heavily fibrotic anterior capsule, your standard Utrata forceps will likely … More
2852: subluxated cataract requires ICCE
There was a time many years ago (40+ years ago) where the standard procedure for cataract surgery was to perform … 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
2845: white cataract after intra-vit injection
An intra-vitreal injection that accidentally punctures the posterior lens capsule often triggers an acute traumatic white cataract. This occurs because … More
2838: difficult fibrotic capsule
In cases of dense white cataracts with fibrotic, leathery capsules, the standard continuous curvilinear capsulorhexis often fails because the tissue … More
2837: vertical chop in dense white cataracts
In dense white cataracts, the vertical chop technique is highly effective because it utilizes shearing forces rather than the compressive … 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
2818: zonulopathy & iris clip phakic IOL
Operating on a highly myopic eye with a pre-existing iris-claw (Artisan/Verisyse) phakic IOL and zonular instability requires a sophisticated, staged … 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
2741: Blanco Puncion en Catarata Blanca
Wowza, Cataract Coach is speaking a little Spanish! The Blanco Punción technique, developed by Dr. Ariel Blanco, is used to … More
2740: recovering from Argentinian flag sign
This has happened to all of us! The Argentinian flag sign occurs when the anterior capsule tears peripherally during capsulorhexis … More
2727: Morgagnian MSICS with a surprise
Manual Shelved-Incision Cataract Surgery (MSICS) is an excellent technique for managing Morgagnian cataracts due to its ability to handle liquefied … More
2714: great skill after 4500 cataract cases
Our guest surgeon has been working hard and in the first few years after training has already performed 4500 cataract … More
2709: YAG laser in milky white cataracts
In cases of intumescent white cataracts, particularly those with high intra-lenticular pressure, using a Nd:YAG laser to perform an anterior … More
2704: cataract after ruptured globe repair
Performing cataract surgery in an eye with a recent corneal laceration and a lacerated anterior lens capsule requires careful surgical … 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
2700: Aussie resident does a white cataract
Learning to perform cataract surgery on white cataracts during residency is a valuable yet challenging experience that builds surgical confidence … More
2695: re-thinking intumescent white cataracts
On yesterday’s CataractCoach Podcast (the top podcast in all of ophthalmology!) we discussed applying engineering principles to challenging cataract surgery … More
2669: Quiz: What does this sign mean?
You are about to start doing phaco chop for this white cataract and you notice that the capsulorhexis is no … More
2654: dense white cataract with a surprise
Approaching cataract surgery in a dense white cataract with a fibrotic anterior capsule presents significant challenges that require careful planning … More
2648: Rosatelli Double Capsulorhexis
We love Dr Neto Rosatelli and his incredible surgical skill. An intumescent white cataract poses significant challenges during cataract surgery … More
2643: very young patient with white cataract
Performing cataract surgery on young patients with intumescent white cataracts presents a unique and formidable challenge for ophthalmic surgeons. Unlike … More
2639: massaging intumescent cataracts
In cataract surgery, the Argentinian flag sign is a well-known complication that can occur during capsulorhexis in cases of intumescent … More
2636: mini-rhexis with phaco handpiece
This video showcases an advanced technique (not for beginners) to perform a capsulorhexis in eyes with white cataracts. The technique … More
2632: AC infusion & needle decompression
We have featured many videos about how to safely perform a capsulorhexis for an intumescent white cataract. In this technique … More
2626: white cataract with pseudo-exfoliation
Today is another video from our Complete Cataract Case series where we show an entire surgery, from start to finish, … More
2615: dense white cataract with femto laser
Our guest surgeon uses a femtosecond laser to help with cataract surgery on a dense white cataract. The question is … More
2577: the risks of a femtosecond laser
I am always happy to add new technologies to our surgery center and operating room because I like having more … More
2566: spiral out capsulorhexis technique
We love white cataracts because it is a true miracle of modern medicine where we can take truly blind people … More
2552: The capsule just split. Now what?
This has happened to ALL of us cataract surgeons. And if it has not yet happened to you, that just … More
2548: pars plana vitreous tap for shallow AC
This is a very difficult and challenging case where our guest surgeon does an amazing job and offers so many … More
2544: Quiz: Why the sudden cataract?
Time for another CataractQuiz™: Why did this patient suddenly develop a white cataract? This is a 65 year old construction … More
2530: the capsulorhexis runs out
Our guest surgeon does a great job with this tough case where we encounter a common issue: a radialized capsulorhexis. … 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
2510: intumescent cataract chop
Our guest surgeon does a great job with this tough case of an intumescent white cataract. Fortunately, there is just … More
2509: Morgagnian cataract technique
A Morgagnian cataract is a type of hypermature cataract where the lens cortex has fully liquefied, causing the dense nucleus … More
2481: dense cataract horizontal chop
Our guest surgeon does a great job with this dense whitish cataract using the horizontal chop technique. These cases can … More
2452: What about the fibrotic capsule?
This patient presents with a long-standing white cataract and when you remove it there is a fibrotic plaque. It’s actually … More
2446: Quiz: What kind of cataract is this?
Look carefully at the title photo and ask yourself, “Hmmm, what kind of cataract is this?” Think about it. Is … More
2434: young surgeon’s great phaco chop
Our guest surgeon is young and at the beginning of a long career and has the skill development to perform … More