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…
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…
1587: IOL scaffold technique
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…