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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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1736:capsule break from OVD bubbles

I was watching cataract surgery videos on YouTube and I saw this video from Dr Shannon Wong from Austin, Texas…

capsule rupture, complications, viscoelastic

1735: Curriculum Lesson 16: IOL loading

Continuing with lesson 16 in our Curriculum series, focusing on IOL loading. Every surgeon must know how to load the…

curriculum, IOL

1734: the 7L rule saves the day

The 7L rule has been passed down from one generation of ophthalmologists to the next for many decades. It is…

upside down IOL

1733: Can you do MSICS without a peritomy?

Today I have more questions than answers. I enjoy performing the MSICS technique and even in our Beverly Hills surgical…

MSICS

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…

dense white cataract

1731: small eye, shallow AC, high hyperopia

As surgeons, we love it when we can make an incredible improvement in the lives of our patients. An added…

hyperopia, shallow AC

1730: belt loop to fixate Ahmed segment

This patient sustained ocular trauma which resulted in loss of zonular support for about 180 degrees, allowing tilt and decentration…

sutured IOL, weak zonular support

1729: Quiz: what complication is imminent?

Look carefully at the picture and see if you can figure out what complication is imminent. Can you tell what…

cataract quiz, complications

1728: PodCast #2: Richard Lindstrom MD

Dr Lindstrom has been on the forefront of innovation in ophthalmology for many decades. He brings a wealth of knowledge…

podcast

1727: iStent prior to cataract surgery

The standard teaching is to perform cataract surgery first and then once the IOL is in the capsular bag and…

glaucoma, istent, MIGS

1726: resident stop and chop case 200

Stop and chop is an important technique to learn during residency and even if you move on to a chop…

resident cataract surgery, stop and chop cataract surgery

1725: coloboma with capsule rupture

Yesterday we featured a case of cataract surgery in a patient with a coloboma. And today we have another similar…

anterior vitrectomy, capsule rupture, coloboma

1724: coloboma with zonular absence

Today and tomorrow we are featuring cases with congenital colobomas where there is an absence of part of the iris…

coloboma, weak zonular support

1723: Quiz: Why did corneal edema develop?

Quiz time with another CataractQuiz™ from CataractCoach™. Look carefully at the photo above and you will note that the patient…

cataract quiz, corneal edema

1722: scleral tunnel for radial keratotomy

I have done cataract surgery for well over 1000 patients with prior radial keratotomy and on a recent surgical line-up,…

radial keratotomy, scleral incision

1721: Curriculum Lesson 15: Cortex

The next lesson in our CataractCoach Curriculum series is lesson 15 where we focus on lens cortex removal. This seemingly…

cortex, curriculum

1720: Should you give up operating?

CataractCoach is very popular among young ophthalmologists who are in the earlier stages of learning ophthalmic surgery and I often…

beginner surgeon

1719: Crater Chop Technique

This resident cataract surgery case shows the crater chop technique where a central section of the nucleus is bowled out…

phaco chop, resident cataract surgery

1718: Marfan syndrome subluxed lens

Marfan syndrome patients develop a progressive zonulopathy with subluxation of the crystalline lens which leads to visual decline. While still…

marfan, weak zonular support

1717: bilateral phacomorphic glaucoma

This is a very unusual case of bilateral phacomorphic glaucoma where the swollen cataract caused the narrow angles to occlude.…

glaucoma, phacomorphic

1716: astigmatism in radial keratotomy

For patients with prior radial keratotomy (RK), cataract surgery has to be done differently. These eyes also often have significant…

astigmatism, radial keratotomy

1715: capsulorhexis right up against iris

For a case like this where the pupil is mid-dilated to about 5 mm in diameter, be sure to make…

small pupil cataract surgery

1714: PodCast #1: Robert H. Osher MD

Over the past 5 years and 1700+ videos, we have learned so much from each other by reviewing surgical videos…

podcast

1713: pars plana tap for aqueous misdirection

The key to resolving iris prolapse is to release the pressure gradient and we have covered this topic many times…

iris prolapse, pars plana

1712: fibrotic anterior capsule will not tear

This patient sustained ocular trauma which resulted in a white cataract as well as fibrosis of the anterior lens capsule.…

fibrotic capsule

1711: severe PXF and zonulopathy

This is a very challenging surgery and most surgeons would rate it a 9 or 10 out of 10 in…

CTR, pseudo-exfoliation, weak zonular support

1710: this radialized capsulorhexis is stuck

This resident is just hitting his/her stride and has done more than 100 cataract surgeries at this point. This started…

iatrogenic, resident cataract surgery, run-out capsulorhexis

1709: save this run out capsulorhexis

This guest surgeon does a great job of managing this run out capsulorhexis. It extends all the way to the…

run-out capsulorhexis

1708: why did this nucleus drop so fast?

This resident case started out pretty well with a good incision and then an intact capsulorhexis, but then things quickly…

dropped nucleus

1707: curriculum lesson 14: epi-nucleus

Continuing with lesson 14 in our Curriculum series, focusing on the epi-nucleus. If you would like to review the other…

curriculum, epinucleus

1706: Approach to the Gummy Nucleus

This patient has a large cortical opacity in the central visual axis which is distorting the vision tremendously. So while…

complete cataract case, soft cataract

1705: recovering from iatrogenic iris damage

This is a very tough case and the iris prolapse and damage is considerable. This is the type of case…

iatrogenic, iris damage, iris prolapse

1704: metallic intra-ocular foreign body

This patient sustained ocular trauma where a small, metallic foreign body penetrated the cornea and ended up inside the crystalline…

foreign body, ruptured globe, traumatic cataract

1703: horizontal chop without vacuum

The traditional method of phaco chop uses vacuum holding power at the phaco tip to hold the nucleus while the…

horizontal chop, no vacuum

1702: capsule polishing or vacuuming?

Believe it or not, cleaning the undersurface of the anterior lens capsule was not always considered a requirement for a…

capsule polishing

1701: don’t just break synechiae, fix pupil

This patient had a prior history of anterior uveitis which resulted in the formation of synechiae from the iris to…

pupilloplasty, synechiae

1700: start the new year with purpose

This is video number 1700 which means that we have posted a new video every day for 1700 days in…

surgical videos

1699: Top 5 videos of 2022

Today is New Year’s Eve and we are going to review the top 5 videos of 2022. You can see…

best of 2022

1698: phaco trabeculectomy with leukoma

This is a very tough case because the patient has a long-standing corneal scar, a cataract, and glaucoma that is…

corneal scar, glaucoma, trabeculectomy

1697: what is this loose Gore-Tex suture?

Our guest surgeon, Dr Sara Bozorg, has sent us a very interesting case. This patient had some unknown procedure performed…

cataract quiz, gore-tex, sutured IOL

1696: dislocated IOL exchange technique

Our guest surgeon, Dr Brandon Ayres from Wills Eye Hospital, gets referred a high volume of complex anterior segment reconstruction…

dislocated IOL, posterior capsulorhexis, sulcus IOL

1695: why I am doing stop and chop?

If phaco chop is so amazing, then why am I doing stop and chop in this case? Answer is in…

stop and chop cataract surgery

1694: nonagenarian pseudo-exfoliation

Cataract surgery is different in nonagenarians as it seems that once the patient reaches age 90, the aging process will…

complete cataract case, pseudo-exfoliation, PXF

1693: curriculum lesson 13: phaco chop details

Merry Christmas to the young ophthalmologists who are going to make time to learn from this latest lesson in our…

curriculum, phaco chop

1692: tailor your technique to your population

I am a strong advocate of learning all different techniques of phaco and nucleo-fractis because I want to have all…

flip and chop

1691: IOL haptic tears posterior capsule

Another tough case today: as this resident implants a three-piece IOL, the leading haptic is twisted and the sharp tip…

anterior vitrectomy, posterior capsule rupture, sulcus IOL

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…

anterior vitrectomy, argentinian flag, dropped nucleus, posterior capsule rupture

1689: phaco & pars plana vitrectomy

This patient has a rhegmatogenous retinal detachment as well as a visually significant cataract. Our guest surgeon is experienced with…

combined cataract and vitrectomy, pars plana, vitrectomy

1688: post-trab cataract with weak zonule

The most important take home message in this video is when you see the capsulorhexis moving you should immediately think…

CTR, weak zonular support

1687: ensuring capsular overlap of optic

In cataract surgery we are taking out a 4 to 5 mm thick human crystalline lens and replacing it with…

capsulorhexis, zepto

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