A talented resident surgeon is performing this cataract surgery with the help of a professor. Cataract surgery for these pediatric…
1458: phaco for a patient with tremors
I have previously featured a challenging cataract case for a patient with severe tremors due to systemic neurological disease. In…
1457: small capsulorhexis leads to trouble
This is another case where the capsulorhexis is about 4 mm in diameter and this causes a complication where the…
Young MD connect video contest $500
Time for another great video contest. This one is sponsored by both YoungMDconnect.com and CataractCoach.com with a cash prize of…
1456: operating through a small rhexis
Keep in mind the dimensions of the typical cataractous lens: about 9-10 mm in diameter and then about 4-5 mm…
1455: cortex removal before nucleus removal
This video shows something that I have never previously seen before: removal of the lens cortex prior to removing three…
1454: peeling off the pupillary membrane
This patient has a long history of prior uveitis / anterior iritis which caused synechiae where the iris became adherent…
1453: Quiz: What is your next step?
This is a tough case where the nucleus is very dense and difficult to chop, but the bigger challenge is…
1452: always give the benefit of the doubt
This is one of the most critically important lessons in ophthalmic surgery. You must remember that the result of surgery…
1451: Quiz: Where is the lens fragment?
A retained lens fragment is common in cataract surgery because we are breaking up the cataract into many smaller pieces…
1450: pseudo-exfoliation in a 90 year old
Pseudo-exfoliation syndrome means that cataract surgery will be more challenging. The pupil will not dilate as much, the zonular support…
1449: monocular patient with 16 cut RK
This is a tough case in a patient with just one eye. He had a prior history of 16-cut radial…
1448: 3D viewing system in tough cases
Our guest surgeons from France have an innovative use of the 3D viewing systems to help patients with severe postural…
1447: setting reasonable patient expectations
Ophthalmology is a highly specialized field of medicine, so much so that most other physicians have very little knowledge of…
1446: taking pride in your routine surgery
Routine surgery is probably 90% of what you perform every week in your operating room (or operating theatre), but sometimes…
1445: rubbery brunescent cataract
There is a pleasure in helping patients with a dense brunescent cataract: we enjoy the surgical challenge and the patient…
1444: the patient moved during the rhexis
As I am performing the capsulorhexis, the patient unexpectedly moved and there is a run-out of the capsule tear. The…
1443: the nucleus just will not rotate
This is a seemingly routine case, shown start to finish, where I find it challenging to rotate the nucleus despite…
1442: this nucleus is denser than it looks
This is a complete cataract case, shown start to finish, of a patient seen in my private clinic. At the…
1441: converting from phaco to MSICS
Our guest surgeon is Jack Shao MD who is a faculty member at the Cole Eye Institute at the Cleveland…