We all love performing cataract surgery on average eyes because we know what to expect: an average IOL power, average…
2366: weak cornea with prior RK & Fuchs’
This patient had prior radial keratotomy (RK) done in the early 1990s to address a modest degree of myopia. This…
2365: Podcast 83: Luis Escaf MD x 2
In this very special podcast episode, we feature a father-son duo of Dr Luis J. Escaf and Dr Luis C.…
2364: simplified Yamane ISHF technique
The Yamane ISHF (intra-scleral haptic fixation) technique has become very popular method in the past few years. This allows us…
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…
2362: Wong Pocket Incision
The Wong pocket incision technique is a clever way to help seal your main corneal phaco incision. This involves creating…
2361: Quiz: What is this behind the capsule?
Cataract Quiz: Look carefully at the title picture and you will notice something behind the posterior capsule. It is in…
2360: cataract surgery after ruptured globe
This patient sustained a ruptured globe injury years prior and now presents with a cornea scar, irregular pupil, and a…
2359: chopping in the bag for a soft nucleus
For a soft nucleus, I tend to flip it out of the capsular bag using hydro-dissection as shown in this…
2358: Podcast 82: Audrey Rostov MD
Dr Audrey Rostov is a talented corneal and cataract surgeon in the Seattle area with a passion of combining aspects…
2357: graduating from divide & conquer
I think that performing the divide and conquer technique of nucleo-fractis during cataract surgery is great and there are some…
2356: developmental cataract technique
This young patient has a developmental cataract which has worsened over the last year and now significantly obscures the patient’s…
2355: transconjunctival IOL fixation
Our guest surgeon uses 8-0 Gore-Tex suture to fixate an IOL with eyelets to the sclera using a transconjunctival approach…
2354: Sturge Weber Syn Glaucoma Shunt
Pediatric patients with Sturge Weber Syndrome often have glaucoma associated with their condition and require treatment which may involve surgery.…
2353: MSICS with a traction suture
I have long extolled the virtues of learning to perform MSICS, manual shelved incision cataract surgery, because it proves to…
2352: Never intersect prior radial keratotomy
Radial keratotomy (RK) is a corneal refractive surgery that was popular decades ago where the surgeon used a blade to…
2351: Podcast 81: John Berdahl MD
Dr John Berdahl is an anterior segment surgeon in South Dakota USA with a special interest in glaucoma. In this…
2350: great job for cataract case 500
Edit: I totally missed this in the review of this case: the IOL goes in the eye upside down! Watch…
2349: beautiful horizontal chop case
Our guest surgeon does a great job with this cataract case, performing a beautiful horizontal chop technique. The chopper has…
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…
2347: fixing acute angle closure glaucoma
Our guest surgeon, Professor Ramesh Ayyala from USF Tampa, demonstrates how he fixes acute angle closure in a complex case.…
2346: trifocal IOLs can make you very happy
We are all indebted to the optical engineers who design our IOLs for cataract surgery and this is particularly true…
2345: IOL scaffold for Morgagnian cataract
The idea behind the IOL scaffold technique is to use the large 6 mm optic of the IOL as a…
2344: Podcast 80: Shady Awwad MD
Professor Shady Awwad is a refractive surgeon with a deep expertise in complex cases including helping patients who need multiple…
2343: learn both horizontal & vertical chop
I am very impressed with the younger generation of ophthalmologists because they learn so quickly and have great dexterity. It…
2342: traumatic cataract in a 9 year old
It is always a challenge to deal with trauma in a pediatric patient. Their tissues are different and the result…
2341: posterior capsule BSS power wash
We have all had cataract cases where some posterior capsule lens material remains adherent. We can try to aspirate it…
2340: Quiz: What kind of cataract is this?
Look carefully at the title picture and ask yourself, “What kind of cataract is this?” Hmmm.. what do you notice?…
2339: flipping up the epi-nuclear shell
During phaco we often get separation of the endo-nucleus from the epi-nuclear shell. This can be intentional such as with…
2338: Professor teaches divide & conquer
In this video, Prof. Lloyd Williams teaches a resident how to perform divide-and-conquer phaco and then goes on to show…
2337: Podcast 79: Mitchell Jackson MD
Dr Mitch Jackson is a refractive, cataract, and anterior segment surgeon in the Chicago area with a zest for life…
2336: resident’s first pupil expansion ring
The goal of residency is not the diploma that we so proudly display on our clinic walls, but rather it…
2335: ruptured globe needle penetration
This patient sustained an ocular injury where a needle / wire penetrated the central cornea and the crystalline lens. This…
2334: double capsulorhexis technique
Seeing a patient with a white cataract undergoing cataract surgery brings me back to early memories of medical school. I…
2333: the monocular patient mindset
Monocular patients are justifiably nervous with discussions about operating on their only good eye. These patients are worried that in…
2332: anterior vitrectomy for floaters
Yesterday we featured a video about using a YAG laser to break up vitreous floaters and today we are presenting…
2331: YAG laser vitreous floater treatment
On our CataractCoach Podcast yesterday, we had a discussion with Dr Inder Paul Singh about dealing with vitreous floaters and…
2330: Podcast 78: Inder Paul Singh MD
Dr Inder Paul Singh is a glaucoma and cataract surgeon in Wisconsin, USA where he runs a private practice that…
2329: senior resident tries phaco chop
Any type of nucleo-fractis is great: divide-and-conquer, stop-and-chop, pre-chop, femto-laser, or any variation of phaco chop. As long as you…
2328: saving the capsular bag in ectopia lentis
This patient has ectopia lentis with severe subluxation of the crystalline lens. Our guest surgeon does a great job of…
2327: Quiz: How do you proceed safely?
Time for another CataractQuiz™: This patient had an intra-vireal injection which inadvertently punctured the lens capsule near the equator. Now…
2326: Quiz: How do you explant this IOL?
This patient has a dislocated single-piece acrylic IOL that needs to be explanted so that a three-piece IOL can be…
2325: cataract surgery in corneal ectasia
This patient has a complex ocular history which includes a high degree of axial myopia which was treated with LASIK…
2324: understanding hand position in phaco
Our guest surgeon is Prof. Lloyd Williams from Duke University who had this split screen video so that we can…
2323: Podcast 77: Y. Ralph Chu MD
Dr Ralph Chu is a cataract, glaucoma, and refractive surgeon in Minneapolis, Minnesota, USA where he started his practice 25…
2322: Case 10 for this junior resident
Time to help the next generation and we ask that the experienced surgeons give suggestions to help this junior resident.…
2321: ectopia lentis from homocystinuria
There are certain rare diseases, such as Marfan syndrome and homocystinuria, which lead to progressive zonulopathy with subluxation of the…
2320: Phaco & GATT but the capsule breaks
This patient needs cataract surgery and also a glaucoma procedure (GATT) to help control the intra-ocular pressure. During the cataract…
2319: Quiz: What happened to the ACIOL?
Our CataractQuiz™ series is among the most popular type of video we have on CataractCoach™ and today is a great…
2318: soft PSC cataracts made easy
PSC cataracts are posterior sub-capsular and they are commonly seen in conditions such as corticosteroid use (ocular, nasal, inhaled, or…