Like you, I love learning from other surgeons, and I am indebted to many outstanding colleagues around the world. Ophthalmologists…
2080: technique of using piggback IOLs
Piggyback IOL refers to a second IOL that is placed in the eye so that there are now two lens…
2079: Review: Phaco Wound Burns
This is a review video of a topic which we have previously covered. It is critically important, especially for younger…
2078: Podcast 42: Neto Rosatelli MD
Neto Rosatelli MD is an amazing surgeon who performs an ultra-high volume of cataract surgery, routinely doing 100+ phacos in…
2077: what is an intra-cap cataract surgery?
I received a couple of emails from young surgeons asking to explain the difference between intra-cap, extra-cap, and MSICS cataract…
2076: run-out rhexis leads to challenges
One of our favorite topics on CataractCoach is the intumescent white cataract. One of the primary difficulties in these cases…
2075: scleral fixated IOL and iris cerclage
This patient sustained ocular trauma which resulted in aphakia without capsular support and chronic mydriasis. Our guest surgeon does a…
2074: Quiz: How to fix this dislocated IOL?
This patient is sent to you with no prior history other than having cataract surgery a year ago and then…
2073: Quiz: How do you fix this iris defect?
This patient sustained ocular trauma which resulted in a white cataract and a large iridodialysis. How would you go about…
2072: you must know both MSICS and phaco
Back when I was a resident (I graduated in 2000), we were required to perform 10 manual extra-capsular cataract extractions…
2071: Podcast 41: Kevin Miller MD
Kevin Miller MD is professor at UCLA where he specializes in cataract and refractive surgery. When I did my residency…
2070: cataract from electrocution / electric shock
Electrocution is very dangerous and can lead to instant death. In cases where the victim survives, there can be severe…
2069: how to manage posterior capsule rupture
If you perform cataract surgery, you will need to be able to manage posterior capsule rupture. Even the most experienced…
2068: rotisserie optic tilt with Yamane IOLs
The Yamane technique of IOL fixation to the sclera has become very popular in the last few years but increasingly…
2067: challenges with ocular albinism
While ocular albinism is a rare condition, every cataract surgeon will encounter this condition over the course of a career,…
2066: belt loop with flanges in the cornea
We have seen many techniques of IOL fixation in cases of insufficient capsular support where the flange technique is used…
2065: potent topical anesthesia in 3 drops
For nearly all of my cataract surgery cases, I prefer topical anesthesia which is then augmented with mild intra-venous sedation…
2064: PodCast 40: Steven Safran MD
Performing a re-operation for complex anterior segment issues is quite a challenge. Often this involves IOL replacement or refixation, iris…
2063: the problem of exposed flanges
We have featured many techniques of IOL fixation in cases of insufficient capsular support such as the Yamane technique, the…
2062: IOL scaffold with Morgagnian cataract
This patient has a Morgagnian cataract where the cortex and epi-nucleus have become liquefied and then partially absorbed, resulting in…
2061: phacomorphic glaucoma, shallow AC
This patient has an intumescent white cataract which has swelled so much that it is pushing up against the iris…
2060: endoscopic cyclo-photocoagulation
Endoscopic Cyclo-Photocoagulation (ECP) is a way to use a laser for partial cyclo-destruction so that less aqueous is produced and…
2059: opaque posterior polar with shallow AC
Studies have shown that 1 out of 3 posterior polar cataract surgeries result in a ruptured posterior capsule. Here’s the…
2058: cracking the leathery posterior plate
With a dense, brunescent cataract the posterior aspect of the nucleus becomes tough and leathery. Traditional chopping methods usually are…
2057: PodCast 39: Milton Yogi MD
Professor Milton Yogi is a brilliant surgeon, incredible teacher, business expert, artist, engineer, and innovator. Dr Yogi has been involved…
2056: IOLs in posterior capsule rupture
Our guest surgeon is Dr Suvira Jain and she runs a great YouTube channel called PhacoPoint where she teaches cataract…
2055: uveitic cataract and pupil membrane
This patient has a long-standing history of prior uveitis which has caused a fibrotic membrane to develop over the pupil.…
2054: carousel technique of nucleus removal
Our guest surgeon presents a case that shows excellent knowledge of intra-ocular fluidics. By aspirating the cataract edge a rotation…
2053: how can you fix this iris damage?
This patient had a terrible case of floppy iris syndrome and iris prolapse during the initial cataract surgery which was…
2052: What is lens sparing cataract surgery?
At the EPOMEC 2023 meeting in Dubai, I had the pleasure of being on a speakers panel with Prof Fathy…
2051: large capsular bag has more wrinkles
In cataract surgery we are replacing the thick human crystalline lens (4.5 to 5 mm thick) with a thin IOL…
2050: PodCast 38: Mohamed Sayed MD
Imagine being in medical school in your home country and then dreaming about going to the Bascom Palmer Eye Institute…
2049: corneal granular dystrophy cataracts
This patient has corneal granular dystrophy as well as visually significant cataracts and your expertise is sought to improve the…
2048: traumatic cataract with corectopia
This young patient sustained ocular trauma many years ago which caused a corneo-limbal perforation which was self-sealed by prolapsed iris…
2047: small pupil, shallow AC, delicate iris
This is a tough case in a patient with prior synechiae, a small pupil, a shallow anterior chamber, and a…
2046: posterior capsulorhexis runs out
In this case presented here, the patient is quadriplegic and will have great difficulty sitting for a future YAG laser…
2045: capsule complications from femto phaco
We have extensively covered the topic of using the femtosecond laser to assist in parts of cataract surgery, including studies…
2044: re-op of tough pseudo-exfoliation
Pseudoexfoliation affects only a small percent of patients undergoing cataract surgery, but it is important to recognize because it poses…
2043: PodCast 37: Jeffrey Tran MD
Jeffrey Tran MD is a bright, young ophthalmologist in Georgia who decided to start his own solo private practice. He…
2042: good job but the patient will not be happy
CataractQuiz™. This anonymous surgeon makes a good incision, a nice capsulorhexis, and then efficiently removes the cataract. The stop-and-chop technique…
2041: severe complications with MiLoop
This is a tough situation of intra-operative complications which begin when the lens snare device (miLOOP or MiLoop) in inserted…
2040: Ahmed segment secured with Gore-tex
This patient presents with a traumatic cataract with extensive zonular loss which means that simply placing an IOL within the…
2039: total anterior segment reconstruction
This young patient presents with a very difficult situation: a dislocated IOL, fibrotic capsule tissue, iris damage, and uncontrolled glaucoma.…
2038: relay technique SFIOL without flanges
Since the development of the Yamane technique, the idea of flange creation to secure an IOL to the sclera has…
2037: modified double flange for SFIOLs
Our guest surgeon uses the flange technique with 6-0 polypropylene suture to secure the IOL to the sclera in this…
2036: Podcast 36: Lloyd Williams MD PhD
Lloyd Williams MD PhD is an ophthalmologist at Duke University with the Global Ophthalmology Program where he brings vision miracles…
2035: kebab technique for dropped nucleus
Every cataract surgeon will encounter the complication of a dropped nucleus. This is to be expected even with perfect surgical…
2034: posterior polar with posterior rhexis
Posterior polar cataract cases are always challenging because we know that the site of the polar opacity is weak with…
2033: should you first remove the pterygium?
In this case, the patient has a pterygium as well as a cataract. Should you first perform the cataract surgery…
2032: ectopia lentis with suture fixation
This is a tough case of ectopia lentis where there is absent zonular support for most of the lens equator.…