Time for another CataractQuiz™: Why did this patient suddenly develop a white cataract? This is a 65 year old construction … More
Category: White Cataracts
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
2425: You just suffered the Argentinian Flag
When looking at this picture you can see the likeness of the Argentinian flag: blue-white-blue because the capsule which was … More
2411: white cataract drops into vitreous
I travel frequently to give lectures all over the world and that meant more than 20 countries in 2024 alone. … More
2401: capsulorhexis extension? MSICS now?
This is a remarkable case for two reasons: (1) there is the complication of capsulorhexis tear out in this white … More
2398: white cornea and white cataract
This patient sustained penetrating ocular trauma in the past which resulted in a corneal leukoma and a white cataract with … More
2384: aspiration probe for the capsulorhexis
In this video, our guest surgeon uses the 23g aspiration probe to hold the anterior lens capsule and then create … More
2383: liquefied lens cortex aspiration
We love white cataracts because of the incredible difference it makes in our patients’ lives. They walk into our clinic, … More
2377: intumescent white cataract options
In this review video we discuss the various options for dealing with intumescent white cataracts an in particular with the … More
2371: resident spiral out capsulorhexis
Performing a spiral out capsulorhexis is a good way to approach a white cataract where the risk of capsular run-out … More
2370: first time doing a white cataract
As you know, we like to keep all resident cases anonymous here on CataractCoach. And this video is a resident’s … More
2367: nanophthalmic eye challenges
We all love performing cataract surgery on average eyes because we know what to expect: an average IOL power, average … More
2363: resident white cataract case
I’ve often said that one of the most amazing miracles of modern medicine is performing phaco for a patient with … More
2348: Why didn’t the double rhexis work?
We have often covered the topic of intumescent white cataracts and creating a stable capsulorhexis without run-out or the dreaded … More
2334: double capsulorhexis technique
Seeing a patient with a white cataract undergoing cataract surgery brings me back to early memories of medical school. I … More
2311: white cataract capsulorhexis options
One of our favorite topics on CataractCoach is the white cataract and we know that the challenge in these cases … More
2305: Quiz: Is it intumescent or not?
By looking at the title picture, how can you tell if this white cataract is intumescent or not? Think about … More
2291: Quiz: Will there be lens milk? p2
Time for the second part of our CataractQuiz™: For today’s video and for yesterday’s, the question is, “Will there be … More
2290: Quiz: Will there be lens milk? p1
Time for a two part CataractQuiz™: For today’s video and for tomorrow’s, the question is, “Will there be lens milk?” … More
2285: traumatic cataract with iridodialysis
Traumatic cataracts are challenging because we are not often aware of the full extent of the damage to the delicate … More
2283: white cataract sutureless MSICS
Here at CataractCoach we have long extolled the virtues of MSICS: manual, shelved incision cataract surgery, where we make a … More
2265: resident pit and chop technique
This is an anonymous resident surgeon who is performing the pit and chop technique. Much like the submarine chop, this … More
2256: Quiz: Where is the red reflex?
Time for another Cataract Quiz: You are doing phaco for this patient with a traumatic white cataract and everything seems … More
2255: zonular loss noted during phaco
You are performing phaco chop for this patient with a white cataract and as you start to remove a nuclear … More
2240: Blanco-puncture for white cataracts
Yesterday’s outstanding CataractCoach Podcast featured Dr Juan Batlle who explained the Blanco-Puncture technique that he learned from Argentinian surgeon Dr … More
2231: catarata blanca-fibrosa
This patient has a dense white cataract but in addition there is fibrosis of the anterior capsule. You can see … More
2219: it’s ok to cut the capsule with scissors
This is a challenging case of a white cataract where the capsulorhexis has a tendency to run out. Our guest … More
2217: now you notice capsular wrinkles…
Sometimes with white cataracts, it can be difficult to notice subtle signs during the pre-operative exam and consultation. In this … More
2208: reverse soft shell OVD technique
Our guest surgeon says that this technique has a 100% success rate in preventing the Argentinian Flag Sign of capsular … More
2192: Best of Cataract Coach: Case 6
Case 6. We had an amazing turnout at our Best of Cataract Coach instructional course at the ASCRS meeting in … More
2182: white cataract double rhexis
The double rhexis technique means that we first perform a smaller capsulorhexis in order to safely decompress the capsular bag … More
2181: white cataract horizontal chop
Our guest surgeon here is a resident who is doing a great job of horizontal chop in this white cataract. … More
2178: Morgagnian cataract & IOL scaffold
A Morgagnian cataract is where the lens cortex is so liquefied that the remaining cataract endonucleus floats around inside the … More
2174: double rhexis white MSICS case
We have already covered the topic of the Double Capsulorhexis Technique to prevent the Argentinian Flag Sign in cataract surgery … More
2166: Argentinian flag: how to finish the case
We all are going to experience this complication if we operate on intumescent white cataracts enough: the anterior lens capsule … More
2160: How to save this run-out rhexis?
With an intumescent white cataract the risk of capsular run-out (and Argentinian flag sign) is high and all seasoned cataract … More
2150: phaco puncture for white cataracts
Not all white cataracts are the same and in this category, among the most challenging is the intumescent white cataract. … More
2140: temporal MSICS for white cataract
Our international CataractCoach fans may be surprised to learn that the vast majority of USA cataract surgeons do not know … More
2129: how I handle a fluffy white cataract
In yesterday’s video (number 2128) we saw that using the phaco probe to apply ultrasonic energy to a soft, fluffy … More
2128: soft white cataract with PC rupture
This patient has a soft white cataract from prior trauma and now it is time for cataract surgery. Look carefully … More
2117: capsulorhexis with the bimanual IA
Our guest surgeon uses the bimanual irrigation/aspiration instruments to perform the capsulorhexis in an intumescent white cataract. The anterior capsule … More
2097: I like this baby capsulorhexis, why?
Now you must be thinking, “Wait a minute, Cataract Coach, you always tell us not to make a baby rhexis, … More
2096: and suddenly, the capsule split…
We have all been there: trying to do needle decompression of an intumescent white cataract and then suddenly, the capsule … More