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…
1674: IOL choice in a teenager
This young patient presents with dense posterior subcapsular (PSC) cataracts in both eyes which is severely limiting the vision. The…
1673: lift the iris in a small pupil case
For patients with smaller pupils, such as this case with about a 4 mm pupil diameter, I tend not to…
1672: Where’s the milk?
Not all white cataracts are intumescent with pressurized capsular bags full of liquefied lens cortex. In some cases, like the…
1671: ‘verbal anesthesia’ works like magic
Many times patients are anxious and nervous about having cataract surgery. When you think about the description, “we enter the…
1670: traumatic cataract with iris damage
This patient sustained ocular trauma which resulted in a traumatic cataract, zonular loss, iris avulsion, and vitreous prolapse. Now you…
1669: Juvene IOL – Grail Study Results
Truly accommodating IOL offers promising results Ophthalmologists have been searching for effective ways to address presbyopia for many decades, particularly…
1668: femtosecond laser fragmentation
We have covered the topic of femtosecond lasers in cataract surgery many times before. Most cataract surgeries performed in the…
1667: case 2500 small pupil, no ring needed
Many surgeons will see this small pupil and immediate ask for a pupil expansion ring or iris hooks and that…
1666: IOL exchange for glare, halos
Some patients just cannot tolerate a trifocal IOL design and that is compounded if the refractive target is missed and…
1665: Curriculum Lesson 11: basic phaco chop
Phaco chop is the most common nucleo-fractis technique among expert and master cataract surgeons because it is the most efficient…
1664: how to filter triamcinolone Kenalog
In a previous video we showed how to remove 90% of the preservative from a vial of triamcinolone by aspirating…
1663: resident fixes synechiae small pupil
This small pupil case has a surprise in store for you. The patient has a history of prior uveitis which…
1662: expansion ring for small pupils
Happy Thanksgiving to my USA followers – my favorite holiday of the year because we express our gratitude for the…
1661: X-NIT simplifies Yamane IOL fixation
Our guest surgeon has developed a novel technique for simplifying the Yamane IOL scleral fixation procedure. Typically with the Yamane…
1660: monocular patient with prior trab
A monocular patient is always a challenge because the patient has just the one eye. This often instills a fear…
1659: when the anterior capsule wrinkles
Just looking at these two screenshots makes me take a deep breath. The anterior lens capsule is supposed to be…
1658: IOL calc case study 10: amblyopia
We often have patients with a history of amblyopia who are now presenting for cataract surgery. The cause of the…
1657: six mistakes young surgeons make
These key lessons are so important that I have made a new updated video for the current crop of young…
1656: a really tough case for a resident
For any cataract surgeon this is a tough case: 94 year old patient (nonagenarian), short axial length, shallow anterior chamber,…
1655: massaging the intumescent lens
The liquefied lens cortex in an intumescent white cataract creates increased pressure within the capsular bag and this can lead…
1654: this capsulorhexis will radialize
Looking at this picture, the capsulorhexis appears to be proceeding well. It is round and intact and the resident is…
1653: two cataract surgeons walk into…
It is truly an honor to perform cataract surgery on the eyes of fellow ophthalmologists and I have been blessed…
1652: Quiz: What is the problem here?
If you have done less than 1000 cataract surgeries, then you may find this quiz very challenging. Look carefully at…
1651: Curriculum lesson 10: stop and chop
Our full curriculum series can be found here. https://cataractcoach.com/category/curriculum/ The Stop-and-Chop technique for nucleus removal during cataract surgery blends aspects…
1650: how to reposition a toric IOL
When we implant a toric IOL to address pre-existing corneal astigmatism, we need to orient the axis of the IOL…
1649: phaco wound burns
This video is critically important, especially for younger surgeons, because a phaco wound burn is a complication that happens more…
1648: cystotome needle decompression
This resident surgeon does a great job on this white cataract case where he performs needle decompression of the intumescent…
1647: do you trust intra-op aberrometry?
The idea behind intra-operative aberrometry is great: measure the eye in the aphakic state and then you can determine the…
1646: posterior polar capsule issue
We have covered the topic of posterior polar cataracts many times before and we even have an entire section on…
1645: phacolytic glaucoma & synechiae
Our guest surgeon does a great job with a very difficult cataract surgery. The patient has phacolytic glaucoma where the…
1644: IOL calc case study 9: lots of RK
This is part of our series of IOL calc case studies and you can find the full list here. This…
1643: limitations with the Vivity IOL
***I mis-spoke at the 1 min mark: small aperture is more depth of field and longer shutter time. The large…
1642: demonstrating trabeculum bypass
In this video our guest surgeon implants the new iStent MIGS glaucoma device and shows us how he verifies proper…
1641: the keratome just cannot penetrate
This is a case from a resident surgeon who is learning cataract surgery. And the big initial challenge is making…
1640: anterior capsule plaque peeling
Our guest surgeon presents a case of a dense cataract where the cortical lens proteins broke down and caused a…
1639: intumescent & pressurized cataract
Increasing lens thickness indicates danger in cataract surgery because liquefied lens cortex can pressurize the capsular bag, increasing the risk…
1638: surprise zonular weakness
This resident surgeon does a good job with this tough case of a traumatic cataract. The intumescent liquefied lens cortex…
1637: Curriculum lesson 9: divide & conquer
We are finally getting to methods of nucleus removal in our CataractCoach Curriculum Series which you can find in its…
1636: capsulorhexis challenges
This video features some challenges that I faced during capsulorhexis creation in seemingly routine cataract cases. Yes, even experts with…
1635: Would you do an IOL exchange?
Let’s say that you have a patient who already had cataract surgery more than a year ago. At that time…
1634: resident conquers the white cataract
A white cataract is a challenge for any surgeon, no matter how experienced, because the risks of potential complications is…
1633: I am amazed by this resident surgeon
This anonymous video features case number 25 from a young resident ophthalmologist in training. The surgical skill, for case 25,…
1632: sphincterotomy & bag handle
The two techniques shown in this video have not been previously featured on CataractCoach and since they are from the…
1631: Marfan Case with Yamane IOL
In cases where the surgeon performs Yamane intra-scleral haptic fixation (ISHF) it is recommended that at least a partial anterior…
1630: IOL calc case study 8: learning from 1st eye
It is relatively easy to do the IOL calculations on an average patient with an average axial length, average keratometry,…