Every surgery has some element of risk, no matter how small or easy the procedure happens to be. We will…
2484: Podcast 100: Pradeep Prasad MD
For our 100th podcast episode, we have a very special guest, Prof. Pradeep Prasad, MD, MBA who is the host…
2483: Quiz: Why the recurrent bleeding?
This patient had cataract surgery 6 years ago and has suffered from recurrent vitreous hemorrhage and uveitis ever since. Looking…
2482: Phaco+GATT in angle closure glaucoma
We know that for patients with narrow angles and cataracts, the best way to address their issues is to perform…
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…
2480: pinhole pupilloplasty for corneal scar
This young patient sustained a ruptured globe injury with a large central corneal laceration and puncture of the crystalline lens.…
2479: When the speculum won’t open more
This patient has narrow palpebral fissures and when the speculum is placed for cataract surgery, we cannot even expose limbus…
2478: using trypan blue to stain the TM
When performing gonioscopy on this patient in the clinic, our guest surgeon noted that it was challenging to see the…
2477: Podcast 99: Rich Davidson MD
Dr Rich Davidson is an anterior segment surgeon and Professor at the University of Colorado, USA. He has spent his…
2476: transconjunctival MSICS
When performing a scleral incision, I like to do it in two layers: making a conjunctival peritomy first, then making…
2475: MSICS with Pars Plana Vitrectomy
Our guest surgeon does a great combination case of removing a dense cataract with MSICS (manual shelved-incision cataract surgery) and…
2474: this is going to be a tough case!
This patient has a small eye with a small pupil, shallow anterior chamber, and pseudo-exfoliation. That will make the case…
2473: Quiz: Why the sudden cataract?
Another CataractQuiz™ for you: This younger patient (age 30-40) developed a cataract suddenly over the course of a few days.…
2472: dislocated IOL and bag with PXF
This patient had cataract surgery done many years ago and everything was great until recently. The patient now presents to…
2471: Learn the ominous Snap Sign!
Professor Ronald Yeoh from Singapore taught us all about the Snap Sign many years ago. The “snap” is when the…
2470: Podcast 98: Dee Stephenson MD
Our podcast guest is Dr Dee Stephenson who is a cataract surgeon in Venice, Florida, USA who has a passion…
2469: cataract after intra-vitreal injection
With tens of millions of intra-vitreal injections being performed worldwide, a seemingly rare complication like capsule rupture happens to many…
2468: the prior vitrectomy hit the capsule
This patient had 4 prior pars plana vitrectomies: the first was to treat a retinal detachment, then the patient re-detached…
2467: Why am I getting corneal edema?
Time for our large, worldwide group of tens of thousands of ophthalmologists to help out a colleague. This anonymous surgeon…
2466: CataractQuiz: Should you YAG this?
Look at this photo and you will see that the posterior capsule is very cloudy. The optic of the IOL…
2465: approach to short axial lengths
I enjoy operating on very myopic eyes because there is so much room within the anterior segment of the eye.…
2464: great pearls for DMEK surgery
Yesterday on the CataractCoach Podcast (the top podcast in all of ophthalmology – IYKYK) we learned from Dr Jack Parker…
2463: Podcast 97: Jack Parker MD PhD
Dr Jack Parker is a corneal specialist who has truly mastered the art of lamellar surgery and amazingly performs more…
2462: retrieving this dislocated IOL
Looking at this title picture you can see that the IOL is very dislocated which much of it well into…
2461: pterygium without sutures or glue
Pterygium surgery with a conjunctival autograft has been shown to be a reliable method which achieves good results with a…
2460: MSICS with AC maintainer
When performing MSICS, does it help to have an AC maintainer providing constant infusion of balanced salt solution into the…
2459: surgical revision of a cystic bleb
Sometimes a complication of a trabeculectomy surgery is having a thin cystic bleb which leaks. This needs surgical repair and…
2458: teach me the tilt and chop technique
There are many techniques for breaking up the nucleus and aspirating it with the phaco probe and ultrasonic energy. And…
2457: pure myopic cylinder lenticue laser
On our CataractCoach Podcast we featured Dr Ivan Gabric who is advancing the limits of corneal refractive surgery using a…
2456: Podcast 96: Ivan Gabrić MD
Dr Ivan Gabrić is a refractive surgeon who is advancing the limits of corneal refractive surgery and I enjoyed visiting…
2455: anonymous surgeon seeks advice
Let’s put our brains together and give this surgeon the advice that he seeks. This is a routine case from…
2454: cataract surgery with seton tube
This patient has a functioning glaucoma seton device with the tube visible in the angle. There is also a peripheral…
2453: kicked by a horse and IOL moves
When I was professor and chief of ophthalmology at a large UCLA teaching hospital, I saw a patient come to…
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…
2451: pseudo-exfoliation cataract 2nd eye
This patient has pseudo-exfoliation (PXF) syndrome and the first eye had cataract surgery many years ago. There is capsular phimosis…
2450: trabeculotomy in congenital glaucoma
In our efforts to further expand our library of educational videos in all sub-categories like glaucoma, we present a case…
2449: Podcast 95: Erik Mertens MD
Dr Erik Mertens is an ophthalmologist in Antwerp, Belgium at the Medipolis clinic where he performs refractive surgery, both lenticular…
2448: resident case 200 evaluation
This is cataract case 200 for this young surgeon in training and it is a pretty good procedure. Certainly there…
2447: small pupil case becomes tough
When dealing with patients who have small pupils or floppy iris tissue, we need to take extra caution. Even then…
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…
2445: iris claw lens and pupilloplasty
Our guest surgeon does a great job with a complex case of trauma. This patient has a severely dislocated crystalline…
2444: scleral tunnel for sulcus seton tube
CataractCoach.com is more than just cataract surgery, it is also glaucoma, cornea, and refractive surgery and we are expanding our…
2443: Does it matter which IOL injector?
We use IOL injectors to allow us to deliver an IOL with a 6 mm diameter optic through an incision…
2442: Podcast 94: Rupa Wong MD
Dr Rupa Wong specializes in pediatric ophthalmology and adult strabismus at her clinic in Honolulu, Hawaii, USA and she has…
2441: Cataract Hazard Perception Test
At the UKISCRS meeting in London (November 2024), I saw a presentation from a young ophthalmologist, Dr Alasdair Simpson from…
2440: the probe just punctured the capsule
Looking at this title picture with that hole punch sign, we know that there are some serious challenges ahead. At…
2439: the 5 suture trabeculectomy
Our guest surgeon is a renowned glaucoma specialist, Prof Ramesh Ayyala and with his team of fellows and residents at…
2438: small pupil, shallow AC, stop & chop
I get emails from viewers asking how to see cases where I am the surgeon operating. This is about as…
2437: Quiz: Why did the DMEK graft detach?
This patient had a visually significant cataract as well as Fuchs’ endothelial dystrophy so our guest surgeon, Prof Bruno Trindade…
2436: everything, everywhere, all at once
Yesterday on the Cataract Coach Podcast (the top podcast in all of ophthalmology!) we featured Prof Bruno Trindade from Belo…