1628: more pearls for highly myopic patients

Highly myopic patients are amazed by cataract surgery because we can address even extreme degrees of myopia while giving great…

1627: follow up from myopia IOL calcs

I trust that you are enjoying our IOL Calc Case Study videos where we go into the details of interesting…

1626: considerations for monocular patients

Of the overall cataract surgery volume, perhaps less than 1% of those patients are truly monocular and maybe less than…

1625: aqueous fluid misdirection syndrome

This is my video from the Cataract Spotlight session by Dr David Chang from the American Academy of Ophthalmology 2022…

1624: gore-tex intra-scleral IOL fixation

I was fortunate to give this presentation as part of the Ophthalmic Premier League competition at the AAO 2022 meeting…

1623: Curriculum Lesson 8: hydrodissection

Hydrodissection sounds like such a simple step of cataract surgery but it is far more nuanced than beginners realize. A…

1622: get involved with ophthalmic consulting

This video addresses one of the most common questions that I am asked: How do I get involved with ophthalmic…

1621: is it ok to do phaco in the AC?

Many years ago when phaco techniques were first being developed, some surgeons elected to do phaco in the anterior chamber.…

1620: pseudo-exfoliation cataract surgery

When it comes to patients with pseudo-exfoliation (PXF) and cataracts, does the pre-operative examination predict the intra-operative challenges? The title…

1619: high power IOLs for radial keratotomy

Over the course of decades, we have found that radial keratotomy (RK) keeps flattening the cornea. Initially these previously myopic…

1618: Why did I choose stop-and-chop?

For 22 years, I did a combination of both private practice as well as academics in which I taught the…

1617: minus power IOLs – meniscus

This patient is so extremely myopic that the IOL power is -2.0 diopters (minus power) in order to leave the…

1616: IOL calc case study 7: emmetropia

This is an interesting case where the patient was confirmed to be emmetropic in both eyes (plano OU) when looking…

1615: micro-cornea and coloboma

This is a very unusual case where the patient has a micro-cornea and also a coloboma with associated zonular absence…

1614: PXF, shallow AC, DWC, zonulopathy

This is a tough case with many challenges: pseudo-exfoliation syndrome, a shallow anterior chamber, a dense white cataract (with intumescence),…

1613: Yamane-Kim intra-scleral fixation

Our guest surgeon does a beautiful job of performing the Yamane intra-scleral fixation technique and he takes it one step…

1612: retrieval of a lost CTR

When implanting a capsular tension ring, particularly in a challenging case, there is always that tiny fear that it may…

1611: dense cataract with foot pedal video

Surgeons who want to learn phaco chop sometimes have a challenge with the foot pedal control. When should energy be…

1610: poly-pseudophakia 2 IOLs in 1 eye

Nanophthalmic eyes are among the most challenging when it comes to cataract surgery. There are additional risks and the working…

1609: Curriculum Lesson 7: Capsulorhexis

The capsulorhexis. One of my favorite parts of cataract surgery and one of the hardest steps to learn. When you…

1607: Z-suture technique to secure IOLs

There are so many innovative techniques in ophthalmology, that it is quite a challenge to learn all of them. This…

1606: European residents learn in India

I am thankful for the expertise of our ophthalmologist colleagues in India, the country with the highest cataract surgical volume…

1605: learn the ominous snap sign!

If you only watch one CataractCoach video this month, this is the one I encourage you to study very carefully.…

1604: return to the OR for retained lens

A retained lens fragment is a relatively common occurrence after modern day cataract surgery. We are able to use small…

1603: what is hiding in this picture?

It seems like a routine cataract case, nicely performed with a phaco chop technique, but there is something more. Look…

1602: IOL calc case study 6: high myopia

This patient has a high degree of myopia and also a high degree of corneal astigmatism. The patient wants to…

1601: cataract skills after 1600 cases

Yesterday was video number 1600 which means that we have featured a new video/post every day for the past 1600…

1600: this resident loves MIGS

When you are a resident, make it a point of learning as much as possible. Do a wide variety of…

1599: leaky paracentesis causes issues

You may think that a paracentesis incision is trivial and has little effect on the case, but that is not…

1598: resident posterior polar cataract

We have covered posterior polar cataracts so many times that there is a separate category for these tricky cases. The…

1597: Final case of UCLA Residency

I have always marched to beat of my own drum and I never wanted to be in full-time academic medicine…

1596: resident divide and conquer

While I prefer variations of phaco chop for most of my cataract surgery cases, residents typically start learning cataract surgery…

1595: curriculum lesson 6: viscoelastics

Viscoelastics, also referred to as OVDs (ophthalmic visco-surgical devices), are viscous substances that allow us to make phaco-emulsification easier and…

1594: healing & anatomy affect outcomes

Patient anatomy and healing greatly affect outcomes. The visual results of surgery depend both on surgeon as well as patient…

1593: this EDOF patient will be amazed

What are the factors for success with EDOF (extended depth of focus) IOLs? How can we ensure that the patient…

1592: off-axis incisions and toric IOLs

Your surgically induced astigmatism (SIA) from your standard phaco incision is probably far less predictable than you think. There are…

1591: asteroid hyalosis of the vitreous

We have all seen it before: thousands of small, white, refractile bodies floating in the vitreous cavity with seemingly little…

1590: flip & chop and clear corneas

This is a complete cataract case, shown start to finish, of a routine cataract surgery using the flip and chop…

1589: optimzing the incision in RK eyes

The cornea in patients with prior radial keratotomy is very delicate and prone to a higher rate of complications during…

1588: IOL calc case study 5: too opaque

We are so accustomed to using optical biometry that sometimes we don’t know exactly what to do when 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…