In yesterday’s video (video 2093) we featured the MSICS procedure for a dense white cataract. And today we feature a … More
Category: White Cataracts
2093: MSICS for a dense white cataract
In the USA, most residency programs do not teach MSICS. Perhaps you may get a little experience with older style … More
2076: run-out rhexis leads to challenges
One of our favorite topics on CataractCoach is the intumescent white cataract. One of the primary difficulties in these cases … More
2073: Quiz: How do you fix this iris defect?
This patient sustained ocular trauma which resulted in a white cataract and a large iridodialysis. How would you go about … More
2070: cataract from electrocution / electric shock
Electrocution is very dangerous and can lead to instant death. In cases where the victim survives, there can be severe … More
2061: phacomorphic glaucoma, shallow AC
This patient has an intumescent white cataract which has swelled so much that it is pushing up against the iris … More
1997: YAG laser capsulotomy white cataracts
CataractCoach.com is your reference for everything cataract surgery and anterior segment surgeries and in that regard, we want a complete … More
1985: needle decompression technique
Intumescent white cataracts have liquefied lens cortex which creates a high intra-lenticular pressure and this causes a force on the … More
1978: recovering from Argentinian flag sign
The challenge with an intumescent white cataract is completing the capsulorhexis without having capsular run-out (Argentinian flag sign). This is … More
1975: tricky capsulorhexis and phaco chop
White cataracts are tricky, particularly when it is an intumescent white cataract where there is breakdown of lens material causing … More
1956: Morgagnian cataracts are challenging
A Morgagnian cataract is one where the cortex has completely liquefied and the remaining endo-nucleus is floating around in the … More
1943: another capsulorhexis runs out
This is a case of MSICS, which is important to learn even if you feel that you can “phaco anything” … More
1942: this capsulorhexis is going to run out
In most cases of intumescent white cataracts, we can substantially lower the risk of capsular run-out (the Argentinian flag sign) … More
1914: What if lens decompression yields nothing?
Many videos have been featured here on CataractCoach to explain how to avoid the dreaded Argentinian Flag sign with white … More
1902: intumescent white cataract decompression
We receive 5 to 10 video submissions every day from our CataractCoach fans and I am thankful for that (here … More
1887: the challenge of the baby rhexis
You have heard me say it before, “don’t make a baby rhexis!” because for a novice surgeon, a small capsulorhexis … More
1876: white cataract with posterior polar
This patient had cataract surgery of the first eye done elsewhere and the surgeon noted a posterior polar opacity. This … More
1847: Curriculum Lesson 24: white cataracts
The next lesson in our 25 part curriculum series is focused on dealing with dense cataracts. You can see the … More
1827: review of techniques for white cataracts
This video is a compilation showing highlights from previous videos in order to review the techniques for white cataracts. We … More
1824: two jerky pulls to save the capsulorhexis
We have previously covered the Little Technique to pull backwards to help save a run-out capsulorhexis. This Two Jerky Pulls … More
1786: rescuing Argentinian flag sign
What do you do when the anterior capsule tear suddenly extends out to the lens equator? This is the dreaded … More
1778: resident week: needle decompression
This week we will feature resident cases submitted anonymously from surgeons in training from around the world. Today’s case is … More
1755: intumescent cataract double rhexis
Our guest surgeon does a beautiful job with this intumescent white cataract. Because the cortex has liquefied, the capsular bag … More
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