Today we are featuring three very interesting short cases. The first is performing simultaneous incisions like some famous Brazilian surgeons,…
1929: Cataract Quiz: what is starting to happen?
Time for another Cataract Quiz: look at the title picture, at the yellow arrow and ask yourself: What is happening…
1928: irido-corneal adhesions
This patient presents to you with the situation shown in the title picture. There is an inferior corneal leucoma with…
1927: should residents learn femto laser?
Many studies have shown that there is little to no benefit to using the femtosecond laser for routine cataract surgery,…
1926: resident crater chop technique
The challenge in performing traditional phaco chop is that the probe tip has to hold the nucleus with vacuum while…
1925: pupil stretching is safe, easy, effective
Performing pupil stretching is safe, easy, and effective but there is a delicate balance. Too forceful of a stretch can…
1924: PodCast 20: Damien Gatinel MD PhD
Prof. Damien Gatinel, MD, PhD has a background in mathematics and the physics of optics as well as being a…
1923: cataract after corneal transplant
In an eye with a prior corneal transplant, cataract surgery is more challenging. The corneal endothelium is going to be…
1922: traumatic mydriasis & dislocated IOL
This patient had an intra-ocular foreign body which necessitated a pars plana vitrectomy along with lensectomy and IOL placement. Now…
1921: retro-iris claw lens for aphakia
This patient has a complex ocular history which resulted in an eye with no capsular support. To address the aphakia…
1920: small pupil pseudo-exfoliation
Our guest surgeon does a great job with this tough case of pseudo-exfoliation with a relatively small pupil. And this…
1919: converting from phaco to MSICS
All cataract surgeons will encounter cases of posterior capsule rupture during phaco. It is a known complication and can occur…
1918: surprised by silicone oil during phaco
This patient was referred to this anonymous surgeon for cataract surgery. The patient developed a white cataract shortly after having…
1917: PodCast 19: Douglas Koch MD
Professor Douglas Koch MD has been leading the way in cataract, refractive, and anterior segment surgery for more than 40…
1916: The 8-Chop Technique – Pre-Chop
Some surgeons love the pre-chopper because it allows for efficient splitting of a nucleus, usually into quadrants. This surgeon takes…
1915: junior resident case takes 30 min…
This junior resident case takes about 30 minutes from start to finish. In our review of this case, we have…
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…
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,…
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…
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…