The IOL scaffold technique is where the IOL is implanted prior to removal of the last bits of the cataract.…
1586: bringing the dropped nucleus up
If the posterior capsule ruptures and the nucleus drops during cataract surgery, my advice to you is to let it…
1585: posterior polar with strong capsule
Quite often, patients do not understand that there are tissue differences among the population. Even if we look at just…
1584: posterior polar ruptured capsule
When I have lectured at large ophthalmic meetings, I would sometimes pause and ask the audience members to raise their…
1583: pseudo-exfoliation with iris hooks
Our guest surgeon does a great job with this tough cataract case. The patient has an intumescent white cataract and…
1582: Quiz: Why such an odd chopper?
Time for a Cataract Quiz: look at the picture here and tell me, why this surgeon is using such an…
1581: curriculum lesson 5: phaco incisions
The incision is a critically important part of your surgery. As one of the initial steps, it can determine the…
1580: phaco surgeon does great MSICS
Our guest surgeon is a very experienced cataract surgeon and an expert at phaco, but he has decided to perform…
1579: phaco through small capsulorhexis
The double capsulorhexis technique is very useful for intumescent white cataracts because it allows us to safely decompress the capsular…
1578: how to rescue this capsule split
You are performing cataract surgery and everything appears routine as the case is progressing smoothly. The nucleus is removed and…
1577: improvement after 100 surgeries
Our anonymous resident surgeon submitted a video of routine cataract surgery which we featured a few months ago as video…
1576: three techniques of nucleus division
Our guest surgeon today is a young resident from Brazil who sent in a video showing him performing three different…
1575: slow motion of an amazing surgeon
Like you, I love learning from other surgeons, and I am indebted to many outstanding colleagues around the world. Ophthalmologists…
1574: IOL calc case study 4: prior RK
My practice has a large volume of cataract surgery patients who have had prior radial keratotomy (RK). I often have…
1572: solving iris prolapse in a small eye
Our guest today is Dr Mohamed Sayed (formerly in Miami, now in Dubai), a master surgeon who has taught us…
1572: create your own nucleus slicer DIY
DIY means Do It Yourself and it is something that appeals to so many people, including me. In this video…
1571: dense brunescent whitish cataract
I recently did LASIK surgery for a young patient, in his early 20s, who surprised me when he said that…
1570: surgeon learns flip and chop
Our video is from an anonymous young surgeon in Australia who has learned the technique of flip and chop. The…
1569: phaco under a phakic IOL
We have featured videos in the past of performing cataract surgery in patients who already have a phakic IOL in…
1568: technique for iris prosthesis
We recently featured a video of a prosthetic iris implant and some CataractCoach fans had pearls to make the procedure…
1567: Curriculum Lesson 4: Anesthesia
In order to perform ocular surgery we need an appropriate level of anesthesia for both patient comfort and cooperation. For…
1566: Ocular Suface & Cataract Surgery
I will be the first to admit that I do not enjoy dealing with ocular surface issues such as dry…
1565: hesitant to perform flip and chop?
Multiple CataractCoach.com subscribers have emailed me to ask for pearls for success with phaco flip and chop. They have some…
1564: on-axis incisions for toric IOLs
In most cases, I like to make the phaco incision on the steep meridian of corneal astigmatism. If the patient…
1563: phaco incision between RK cuts
Radial keratotomy (RK) makes cataract surgery far more challenging. The IOL power calculations are dramatically affected and during surgery we…
1562: capsulorhexis considerations
As a beginning surgeon, the capsulorhexis is one of the hardest steps of cataract surgery to learn. The anterior capsule…
1561: sudden chamber deepening
This patient has a dense cataract and I increased the phaco power in order to help break apart the nucleus.…
1560: IOL calc case study 3: prior PPV
Patients will have accelerated cataract development after a pars plana vitrectomy, and these patients will be sent to you for…
1559: MSICS for weak K endothelium
Doing phacoemulsification surgery involves using ultrasonic energy and fluidic flow to break up and aspirate the cataract nucleus. Both the…
1558: How ECCE is different from MSICS
When I was a resident ophthalmologist, we learned to do manual ECCE cataract surgery before moving to phacoemulsification. This manual…
1557: small pupil and dense cataract
This is a fun video where I give the commentary while watching it for the first time. The case is…
1556: iridodialysis repair
The iris is a wimpy tissue that is very delicate and susceptible to damage during cataract surgery. This is relatively…
1555: Pupilloplasty made easy
The iris can be sutured, typically using 10-0 polypropylene, to help restore the pupil anatomy in cases of iris trauma.…
1554: traumatic cataract and macular hole
The eye is a very fragile organ and trauma can cause dramatic damage that can be challenging to repair. We…
1553: Curriculum: Lesson 3: Ready to Operate
Please take note that there is now a separate link for Curriculum & Special Series on the homepage of CataractCoach.com…
1552: skill level after 250 cases done
Another anonymous USA resident sent me a video of the last case of residency, case number 250 where the nucleus…
1551: challenging traumatic cataract
When dealing with a traumatic cataract, the extent of tissue damage is not always fully understood until the surgery begins.…
1550: scarred posterior capsule
In the case presented here, the patient has a long-standing, dense, white cataract that has caused some scarring to the…
1549: cataract surgery in angle closure
Cataract surgery in the setting of angle closure glaucoma is very challenging because the anterior chamber is very shallow, the…
1548: skill level after 2000 surgeries
We have previously discussed the surgical learning curve with a detailed explanation how the beginning part of the curve is…
1547: Quiz: Why is the IOL decentered?
Look carefully at the picture and see if you can determine why the IOL is decentered? The capsulorhexis looks good…
1546: The Key to Ophthalmology Residency
I recently enjoyed participating in a podcast with Dr Rizul Nathani, who hosts the OpenGlobeTk.com interview series which is focused…
1545: floppy iris syndrome management
Floppy iris syndrome is routinely encountered by all cataract surgeons and it can be quite challenging to effectively manage. This…
1544: the first chop didn’t work, so…
Enough resident cases for now. If you’re a novice surgeon who has enjoyed learning from the resident cases, you can…
1543: resident pre-chopper technique
There are many ways to disassemble the nucleus into smaller fragments and the pre-chopper technique works well. This is a…
1542: tough resident cataract case
This is a very tough resident cataract case and there are some complications. The most important point is that the…
1541: iris got caught in the phaco probe
The iris is a delicate and dynamic tissue that can inadvertently be aspirated into our phaco probe or irrigation/aspiration probe…
1540: Why won’t the IOL stay in the bag?
Cataract Quiz: Look at the picture above and see if you can figure out why the IOL keeps coming out…
1539: IOL calc case study 2: prior LASIK
Today’s interesting IOL calc case study features another patient with anisometropia, similar to IOL calc case study 1, where the…
1538: resident flip and chop case
Continuing with our theme of studying resident cataract surgeries in July, this case showcases a young resident from Brazil who…