Our guest surgeon does a beautiful job with this intumescent white cataract. Because the cortex has liquefied, the capsular bag…
1754: dual site phaco trabeculectomy
This patient has both glaucoma and cataracts and the clinical decision has been made to perform both cataract surgery and…
1753: single site phaco trabeculectomy
Our guest surgeon is using a single site to perform the cataract surgery and the trabeculectomy because this patient already…
1752: resident’s 3rd horizontal chop
Last week in video 1747, we showed you this same resident surgeon’s first case of horizontal chop and it went…
1751: for capsule wrinkling, I do this…
This is a complete cataract case, shown start to finish, where the anterior lens capsule wrinkles upon attempted puncture for…
1750: paired incisions for astigmatism
Doing refractive cataract surgery is becoming the norm with patients desiring correction of refractive errors at the same time as…
1749: Curriculum Lesson 17: IOL delivery
In this next part of our curriculum series, we have lesson 17: IOL delivery. It may sound simple, but injecting…
1748: tiny hyperopic eye & small pupil
Just watching this case is stressful. It is a very small eye with a 20 mm axial length, shallow anterior…
1747: A resident’s first phaco chop case
The advantage of residency training is that a seasoned attending ophthalmologist is sitting right next to you, giving advice, teaching…
1746: resident case 100 analysis
Time for some group learning and this young surgeon (and other beginning surgeons) need your input and advice. This is…
1745: Ahmed capsular segment placement
This is a tough case where the surgeons learns intra-operatively that there is a quadrant of poor zonular support. An…
1744: keratoglobus cataract surgery
Keratoglobus is a rare condition, so rare that I have never seen a patient with this condition in my career,…
1743: measure precisely for Yamane IOLs
Precisely measuring your scleral entry points is critical to center the IOL optic when you are performing Yamane intra-scleral haptic…
1742: PodCast #3: Resident Eye Surgeons
This is an amazing podcast with three senior ophthalmology residents from the UCLA Jules Stein Eye Institute (Gio Campagna MD,…
1741: defining and measuring success
Defining success is not easy because it means different things to everyone and it tends to evolve or change throughout…
1740: dead capsular bag syndrome
In rare cases, years after a cataract surgery, we can have complete loss of zonular support with dislocation of the…
1739: peeling a posterior polar plaque
We all know that posterior polar cataracts are challenging because at the site of the polar opacity the capsule can…
1738: sudden choroidal hemorrhage
This is another great example of how even an experienced, expert surgeon can encounter a complication during cataract surgery. This…
1737: IOL breaks the posterior capsule
We should never devalue cataract surgery or claim that it is such an easy procedure because even in expert hands,…
1736:capsule break from OVD bubbles
I was watching cataract surgery videos on YouTube and I saw this video from Dr Shannon Wong from Austin, Texas…
1735: Curriculum Lesson 16: IOL loading
Continuing with lesson 16 in our Curriculum series, focusing on IOL loading. Every surgeon must know how to load the…
1734: the 7L rule saves the day
The 7L rule has been passed down from one generation of ophthalmologists to the next for many decades. It is…
1733: Can you do MSICS without a peritomy?
Today I have more questions than answers. I enjoy performing the MSICS technique and even in our Beverly Hills surgical…
1732: this white cataract is quite dense
We have previously explained that not all white cataracts are the same and that there is an entire spectrum of…
1731: small eye, shallow AC, high hyperopia
As surgeons, we love it when we can make an incredible improvement in the lives of our patients. An added…
1730: belt loop to fixate Ahmed segment
This patient sustained ocular trauma which resulted in loss of zonular support for about 180 degrees, allowing tilt and decentration…
1729: Quiz: what complication is imminent?
Look carefully at the picture and see if you can figure out what complication is imminent. Can you tell what…
1728: PodCast #2: Richard Lindstrom MD
Dr Lindstrom has been on the forefront of innovation in ophthalmology for many decades. He brings a wealth of knowledge…
1727: iStent prior to cataract surgery
The standard teaching is to perform cataract surgery first and then once the IOL is in the capsular bag and…
1726: resident stop and chop case 200
Stop and chop is an important technique to learn during residency and even if you move on to a chop…
1725: coloboma with capsule rupture
Yesterday we featured a case of cataract surgery in a patient with a coloboma. And today we have another similar…
1724: coloboma with zonular absence
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…