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,…
1629: can you show more Tecnis cases?
A number of ophthalmologists have asked if I can show more cases using Tecnis IOLs and I am happy to…
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…
1608: different ways to explant IOLs
99% of the time the IOL implanted at the time of cataract surgery is the one that the patient will…
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…