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Cataract Coach™

Cataract Coach™

Professor Uday Devgan MD, renowned Los Angeles cataract surgeon, teaches the Best Techniques for Cataract Surgery. All Content © 2018-2023 Uday Devgan Cataract Coach™

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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…

needle decompression, white cataracts

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…

flip and chop, pars plana, tilt tumble

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…

high myopia, myopia cataract

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…

istent, MIGS

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…

podcast

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…

sutured IOL, weak zonular support

1908: nanophthalmos & decompression

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

angle closure, anterior vitrectomy, glaucoma, nanophthalmos

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…

asteroid

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…

decentered IOL, sulcus IOL

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…

cataract quiz, weak zonular support

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…

conductive keratoplasty

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…

podcast

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…

intumescent, needle decompression, white cataracts

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…

resident cataract surgery, stop and chop cataract surgery

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…

iris bombe

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…

hydrodissection

1898: IOL exchange with open capsule

There are times when an IOL exchange is the best answer for a challenging clinical situation and in this case,…

iol exchange

1897: Anchor Style haptics for IOL fixation

This patient experienced a dropped nucleus during cataract surgery with extensive damage to the capsular bag. This poses a challenge…

scleral fixated IOL

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…

podcast

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…

beginner surgeon, CataractCoach Book, ophthalmology residency

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…

contest winners, resident cataract surgery

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…

contest winners, resident cataract surgery

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…

contest winners, resident cataract surgery

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…

contest winners, resident cataract surgery

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…

contest winners, resident cataract surgery

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…

podcast

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…

femto laser, femtosecond laser, posterior polar cataract

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…

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…

glaucoma, MIGS, phaco chop

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…

glaucoma, MIGS, phaco chop

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…

resident cataract surgery

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…

resident cataract surgery

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…

podcast

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…

resident cataract surgery

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…

pre-chop

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…

small pupil cataract surgery, synechiae

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…

foreign body, traumatic cataract

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…

corneal scar, unusual case

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…

posterior polar cataract, white cataract

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…

podcast

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.…

dislocated IOL, sutured IOL, vitrectomy

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…

cataract quiz, surge

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…

corneal transplant, DMek

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…

anterior vitrectomy, posterior capsule rupture

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)…

surgical pearls

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…

posterior polar cataract

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…

podcast

1867: pinhole pupilloplasty technique

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

pupilloplasty

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…

soft cataract

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…

horizontal chop

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