Today and tomorrow we are featuring cases with congenital colobomas where there is an absence of part of the iris…
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…
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,…
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…
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…
1719: Crater Chop Technique
This resident cataract surgery case shows the crater chop technique where a central section of the nucleus is bowled out…
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…
1717: bilateral phacomorphic glaucoma
This is a very unusual case of bilateral phacomorphic glaucoma where the swollen cataract caused the narrow angles to occlude.…
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…
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…
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…
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…
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.…
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…
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…
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…
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…
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…
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…
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…
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…
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…
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…
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…
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…
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…
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…
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…
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…
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…
1694: nonagenarian pseudo-exfoliation
Cataract surgery is different in nonagenarians as it seems that once the patient reaches age 90, the aging process will…
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…
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…
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…
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…
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…
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…
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…
1686: dense cataract iris & zonular loss
This case is beyond 10 out of 10 in difficulty and our guest surgeon, Dr Steve Safran, is a true…
1685: Primer on how to perform LASIK
Best pearls for learning to perform LASIK
1684: displaced phakic IOL & endo loss
This patient had bilateral phakic IOLs implanted about a year ago to address a high degree of myopia. Now the…
1683: resident case 78 – what needs work?
In many surgical fields studies have shown that surgeons in training who have a history of video game playing tend…
1682: what is your approach to chemosis?
Chemosis. It happens to all of us. Just a slight cut of the conjunctiva and the balanced salt solution will…
1681: your advice for this young doctor
Time for a group effort from out CataractCoach fans: this young surgeon has submitted case 100 and asks for our…
1680: successful small pupil MSICS
Our guest surgeon has a lot of experience in performing MSICS, even in a tough case like this with a…
1679: Curriculum Lesson 12: more phaco chop
Phaco chop is such an important technique that we have another lesson going into more of the specifics. You can…
1678: can you chop with any instrument?
I have said it before, the hands are more important than the equipment. And the technique is more important than…
1677: cataract surgery & phakic IOL removal
This patient had a phakic IOL placed many years ago for the treatment of a high degree of axial myopia.…
1676: this IOL is going in upside down
The 7L rule makes my life so much easier. This rule states that the leading haptic should look like the…
1675: soft posterior polar cataract
I enjoy posterior polar cataract surgery because of the challenge. We know that at the site of the polar opacity…