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…
1774: When did the posterior capsule rupture?
I have watched this video a few times and I am still not sure when the capsule ruptured. Look at…
1773: capsule ruptured by intra-vitreal injection
With millions of intra-vitreal injections being performed every year, an iatrogenic rupture of the posterior capsule by the needle is…
1772: phaco + GATT to treat glaucoma
GATT is gonioscopy-assisted transluminal trabeculotomy and it was described almost 10 years ago where the trabecular meshwork can be torn…
1771: further progression of surgical skills
When I saw case 25 from this resident (link here) I was amazed at his skill level and just how…
1770: PodCast 5: surgical learning & coaching
About six weeks ago I posted a video discussing the question, “Should you give up operating?” because it is asked…
1769: cataract in a post-trabeculectomy eye
When performing cataract surgery in an eye with a prior trabeculectomy there are some important differences. There is going to…
1768: brunescent dense rock cataract
This is a tough case and when you see the microscope lights turned up but still no red reflex, you…
1767: an amazing rescue of a tough case
Our guest surgeon, Dr Steve Safran has become an expert in complex re-operations and anterior segment reconstruction, with countless cases…
1766: when did the posterior capsule break?
Our guest surgeon, Dr Lukan Mishev, is a highly talented ophthalmologist who is an expert is anterior and posterior segment…
1765: keep the capsulorhexis centered
In this complete cataract case the pupil has dilated in an asymmetric manner. There is no history of trauma and…
1764: larger capsulorhexis for larger pupil
This patient has a large anterior segment where the white-to-white diameter is almost 13 mm. He also has a large…
1763: Curriculum Lesson 18: finish the case
This lesson focuses on finishing the case. Sounds easy, but it can be tricky. We need to remove the viscoelastic…
1762: Focus on Efficiency: putting it all together
This week we have a Focus on Efficiency. Today, putting it all together – a complete case. Over the past…
1761: Focus of Efficiency: optimal flow
This week we have a Focus on Efficiency. Today, achieving the optimal state of flow. The psychological state of Flow is described…
1760: Focus on Efficiency: cycle time analysis
This week we have a Focus on Efficiency. Today, tracking and improving your cycle time. After working with 200 ophthalmology…
1759: Focus on Efficiency: your scrub tech
This week we have a Focus on Efficiency. Today, the importance of your scrub tech. As surgeons, we do not…
1758: Focus on Efficiency: how I think
This week we have a Focus on Efficiency. Today, here is how I think to improve efficiency. This is a…
1757: Focus on Efficiency: please help me
This week we have a Focus on Efficiency. Today, a look at an experienced surgeon’s case. An anonymous ophthalmologist with…
1756: PodCast 4: Tom Oetting MD
Dr Tom Oetting is a celebrated cataract surgery teacher and he has really pioneered much of the online learning in…