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…

1913: favorite technique for post PPV eyes

Prior pars plana vitrectomy (PPV) makes the cataract surgery more challenging because it removes the anterior hyaloid face and vitreous…

1912: Refractive Lens Exchange High Myopia

We can agree that a refractive lens exchange is a good way to address high hyperopia in presbyopic patients, but…

1911: iStent Infinite MIGS & Phaco Chop

In the first month of fellowship, your preceptor may ask you to perform a cataract surgery to see where you…

1910: PodCast 18: Eric Donnenfeld MD

Eric Donnenfeld MD is an outstanding teacher and has taught thousands of ophthalmologists with his presentations and articles. He has…

1909: zonulopathy with capsule fixation

This patient has extensive zonulopathy and phacodonesis which is going to make the cataract surgery difficult and also pose a…

1908: nanophthalmos & decompression

This patient has true nanophthalmos with an axial length of less than 20mm and a calculated IOL power of 67…

1907: asteroid hyalosis & cataract surgery

Asteroid Hyalosis is seen in about 1-2% of your cataract surgery patients and it is most often unilateral. These focal…

1906: decentered IOL & fibrosed capsule

This patient underwent cataract surgery a few years prior and now presents to you with a dislocated sulcus IOL and…

1905: Cataract Quiz: What does this tell you?

Stop reading and look carefully at the title picture here. What does this tell you? Seriously, stop reading and study…

1904: conductive keratoplasty CK cataract

More than 20 years ago, a new technology was unveiled to help address presbyopia: conductive keratoplasty (CK). This used electrical…

1903: PodCast 17: Jorge Alió MD PhD

Professor Jorge Alió, MD, PhD from Alicanté, Spain wears many hats: professor, innovator, publisher, researcher, and business leader. He is…

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…

1901: senior resident stop-and-chop

It’s July and that means our senior residents (PGY4 in the USA) and busy climbing up the cataract surgery learning…

1900: iris bombata / iris bombé

Iris bombata (or iris bombé) is a condition where posterior synechiae at the pupil margin have completely sealed the posterior…

1899: phaco without hydro-dissection

There are a few catch phrases or sayings that I use on CataractCoach to make it easy to remember critical…

1896: PodCast 16: Marguerite McDonald MD

The excimer laser revolutionized corneal refractive surgery and countless millions of patients have benefitted from amazing new vision. Marguerite McDonald…

1895: get the free CataractCoach Book

I must say thank you to Dr Hashem Abu Serhan from Doha, Qatar for spending the time compiling so much…

1894: video contest 1st: traumatic cataract

Our first place winner for the video contest presents a very tough traumatic cataract case. This is a case that…

1893: video contest 2nd: learning from mistakes

Our second place winner in the video contest presents a compilation of complications that were encountered during the journey of…

1892: video contest 3rd: punctured capsule

Looking at the title picture should make you quite a bit uncomfortable because you still have most of the nucleus…

1891: video contest honorable mentions p2

Today we feature two more videos from our contest, both of which received an honorable mention. These videos deal with…

1890: video contest honorable mentions p1

This week we will feature the winners from our recent video contest. Remember that these were limited to 3 minutes…

1889: PodCast 15: Bill Soscia MD

Even though our cataract surgeries are confined to a very small space inside the eye, they require peak performance from…

1888: femto laser for posterior polar

You must realize by now that I have a fondness for posterior polar cataracts and on CataractCoach.com we have an…

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…

1886: phaco chop case with GATT

GATT is gonioscopy-assisted transluminal trabeculotomy and it is a low cost MIGS technique to help lower intra-ocular pressure and it…

1885: phaco chop with trabeculotomy

Our guest surgeon, Gio Campagna MD, just graduated from ophthalmology residency at UCLA last week and is now starting his…

1884: Lefty’s 25th solo cataract case

Whether you are right or left handed, the rules and challenges of cataract surgery are the same: safely remove the…

1883: new surgeon’s third solo case

Now this is not the third time that this resident surgeon has scrubbed and participated in a cataract surgery. This…

1882: PodCast 14: Nandini Venkateswaran MD

Nandini Venkateswaran MD is an anterior segment surgeon and clinical instructor at Harvard Medical School and key opinion leader in…

1881: your first solo phaco case of residency

Today is July 1 and that is the first day of the new academic year in the USA. For senior…

1880: pre-chopper makes surgery easier

The pre-chopper was popularized by Prof Akahoshi from Japan and it was designed to mechanically chop the nucleus into quadrants…

1879: small pupil, synechiae, dense cataract

These types of cases where there is a small pupil due to posterior synechiae can be challenging. We must first…

1878: depot steroid implanted in the lens

This depot steroid device was supposed to be injected into the vitreous cavity, but it ended up inside the crystalline…

1877: cataract with severe corneal pannus

This patient sustained a chemical burn to the ocular surface and then underwent a limbal stem cell transplant procedure for…

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…

1875: PodCast 13: Randall Olson MD

Dr. Randall Olson is Chairman and Professor of Ophthalmology at the Moran Eye Institute at the University of Utah in…

1874: challenging rescue of a dislocated IOL

In this case, the IOL is falling back into the vitreous cavity and it is certainly entangled with the vitreous.…

1873: who so much surge during phaco?

Time for a CataractQuiz: watch the video and you will see a tremendous amount of post-occlusion surge during phaco. When…

1872: the new triple: Phaco, IOL, DMEK

The typical “triple” procedure was performing phaco, IOL implantation, and a full-thickness corneal transplant. And this still has an important…

1871: the posterior capsule just ruptured…

It happens to ALL cataract surgeons: the posterior capsule ruptures and there is vitreous prolapse while cataract material is still…

1870: three cases of sudden trouble…

In this video we present three cases of sudden trouble: (1) the IOL pops out of the capsular bag, (2)…

1869: posterior polar with EDOF IOL

This patient has a congenital posterior polar cataract which has recently worsened and become more opaque. It is certainly limiting…

1868: PodCast 12: Amar Agarwal MD

Dr Amar Agarwal is a surgeon, innovator, educator, author, and leader in ophthalmology and he has changed the way we…

1867: pinhole pupilloplasty technique

Patients are often amazed by the magic of the pinhole in addressing refractive issues when we check visual acuity in…

1866: suggestions for the soft nucleus

In this case our guest surgeon is performing cataract surgery on a soft nucleus. These surgeries can be tricky because…

1865: pre-placement of the chopper

One of the challenges in learning horizontal phaco chop is that there is only a small window of time, usually…