We have previously covered the Little Technique to pull backwards to help save a run-out capsulorhexis. This Two Jerky Pulls…
1823: white cataract after intra-vitreal injection
When a patient develops a white cataract right after an intra-vitreal injection, you can be pretty sure that the capsular…
1822: lens snare/loop splits the bag!
The idea of a lens snare or loop to mechanically split the nucleus is decades old and we previously discussed…
1821: Are you ready for prime time?
If you are a young surgeon nearing the end of your training in the USA or Canada, you will be…
1820: monocular with pseudo-exfoliation
Ophthalmologists are very familiar with pseudo-exfoliation syndrome since it makes the cataract surgery more challenging due to poor dilation or…
1819: curriculum lesson 22: small pupil & iris prolapse
The next lesson in our 25 part curriculum series is focused on dealing with small pupils and iris prolapse. You…
1818: My Week: Sub-incisional cortex
With sub-incisional cortex, using a bimanual IA set-up makes it relatively easy to remove. However, with a co-axial IA probe,…
1817: My Week: How do I get the nucleus up?
Many readers have asked for pearls in getting the nucleus up, part way out of the capsular bag, and in…
1816: My Week: flush out nuclear chips
Every single cataract surgeon who has done at least a few thousand cases has encountered a case with a retained…
1815: My Week: do not prolapse this nucleus
For many cases, I prefer to partially prolapse the nucleus out of the capsular bag so that it is easier…
1814: My Week: what happened to the capsule?
Just looking at the title picture should give you a little stress — it does for me! In this case,…
1813: My Week: pseudo-exfoliation case
All this week we will be showing videos of me operating. When I first started CataractCoach in 2018, almost all…
1812: PodCast 8: Stephen Slade MD
Stephen Slade MD has taught LASIK to thousands of surgeons, including me back when I was a resident in 1999.…
1811: triple procedure: PKP + CEIOL
The term triple procedure is a little misleading because it is two surgeries: corneal transplantation and cataract surgery. The triple…
1810: severe zonular loss with Cionni ring
Cases like this are stressful and just looking at this picture should make your heart beat faster. There is a…
1809: father vs son challenge – the son
Yesterday we featured a video (1808) from a highly experienced cataract surgeon (the father) who did a horizontal chop technique…
1808: father vs son challenge – the father
Ophthalmology, particularly cataract surgery, is such an amazing field that it is relatively common to see generations of eye surgeons…
1807: annular cataract with scarred capsule
It is very unusual to see this type of annular cataract where the remaining lens material is in the shape…
1806: left-handed resident breaks the bag
Let me be the first to say that it is perfectly fine for a surgeon to be left handed. Surprisingly,…
1805: curriculum lesson 21: anterior vitrectomy
The next lesson in our 25 part curriculum series is focused on performing an anterior vitrectomy. You can see the…
1804: remembering our mentors
Our careers and our lives are finite. And everyone eventually gets a diagnosis. Remembering our mentors and honoring their legacy…
1803: broken IOL complications
IOLs are delicate and when we roll them and compress them in order to fit through smaller incisions, rarely the…
1802: when floppy iris syndrome gets ugly
As surgeons we must remember (and teach our patients) that the results of surgery are a combination of our surgical…
1801: continual injection of viscoelastic
We use viscoelastic (also called OVD = ophthalmic visco-surgical device) during cataract surgery to protect the delicate intra-ocular structures, in…
1800: dealing with opacified IOLs
There are times when certain hydrophilic acrylic IOLs end up become opaque with time. This is thought to be a…
1799: posterior polar with zonular loss
We know that posterior polar cataract cases are challenging because at the site of the opacity the posterior capsule is…
1798: PodCast 7: Arsham Sheybani MD
Our guest for this podcast is Arsham Sheybani MD from Washington University in St. Louis, Missouri, USA where he is…
1797: experienced surgeon asks for help
This surgeon needs the collective help of our 50,000 subscribers. S/he has sent in this video with a request that…
1796: your first femto laser phaco case
We have a whole section devoted to femtosecond laser cataract cases and we both know that it is not a…
1795: IOL exchange is not always the solution
When patients need it, I am a firm believer in IOL exchange. We can go back inside the eye and…
1794: Eyhance OD and Vivity OS – why?
This patient is a physician from the east coast of the USA (more than 3000 km from my clinic) who…
1793: Visian ICL phakic IOL removal
Phakic lens implants are useful for the treatment of high degrees of myopia which are beyond the capabilities of keratorefractive…
1792: Verisyse phakic IOL removal
Many years ago the only phakic IOL available in the USA for treatment of large degrees of myopia was a…
1791: Curriculum Lesson 20: complications part 2
More complications to learn from. Remember that no matter how amazing your surgical skills are, you will certainly encounter complications…
1790: Art of Refractive Cataract Surgery
Cataract surgery is so much more than just clearing the visual axis of opacities! Cataract surgery is our most powerful…
1789: nice chopping from a VR surgeon
I have always admired vitreo-retinal (VR) surgeons because of their ability to repair complex posterior segment problems. Many of them…
1788: cortical cleaving hydro-dissection
I learned about cortical cleaving hydro-dissection from I. Howard Fine MD, an amazing surgeon and innovator in the world of…
1787: tilted nucleus with severe zonular loss
This lens is so loose that it is shaking around inside the eye – a severe case of phacodonesis. This…
1786: rescuing Argentinian flag sign
What do you do when the anterior capsule tear suddenly extends out to the lens equator? This is the dreaded…
1785: centrally attached zonular fibers
This is an usual case where there are zonular fibers which are centrally attached onto the anterior lens capsule, so…
1784: PodCast 6: David F. Chang MD
David F. Chang MD has been passionate about phacoemulsification cataract surgery ever since he was a medical student. He happened…
1783: resident week: Why the bleeding?
When you are in residency training, you must learn the knowledge of ophthalmology and the hands-on skills such as surgery,…
1782: resident week: cystotome rhexis
The simple bent needle, also called a cystotome (or cystitome for the alternate spelling) can be used to create the…
1781: resident week: posterior sub-capsular
For this resident case there is an extensive posterior sub-capsular cataract which is causing poor vision, decreased acuity, and tremendous…
1780: resident week: pseudo-exfoliation
Continuing with resident week, we present a case of pseudo-exfoliation (PXF). There is a spectrum of disease when it comes…
1779: resident week: nice chop but…
The next case in our resident week series is a routine case where this US senior resident is learning phaco…
1778: resident week: needle decompression
This week we will feature resident cases submitted anonymously from surgeons in training from around the world. Today’s case is…
1777: Curriculum Lesson 19: complications part 1
The next lesson in our CataractCoach Curriculum series is lesson 19: complications, part 1. Every surgeon encounters surgical complications and the key…
1776: refractive lens exchange for hyperopia
For patients over age 60 with significant degrees of hyperopia, a refractive lens exchange (RLE) tends to be the preferred…
1775: the IOL is sitting on the macula
This patient suffered late dislocation of the IOL+capsular bag complex and it fell into the vitreous cavity and it now…