2789: Alondra knot vs Cupid needle for IOL

Today our two guest surgeons are presenting different ways of securing a loose IOL to the sclera using sutures. The…

2788: surgical treatment of blebitis

Blebitis is an infection involving a prior filtering bleb and it is a serious, sight-threatening complication demanding immediate, aggressive management…

2787: IOL suspension Gore-tex suture loop

Our guest surgeon does a great job with this very tough case. The patient sustained severe ocular trauma and now…

2786: from the smallest to the biggest

Yesterday on the CataractCoach Podcast (the top podcast in all of ophthalmology!) we featured Dr Rafael Vazquez Rojas from Mexico…

2785: Podcast 143: Rafael Vazquez Rojas MD

Teaching the next generation of ophthalmic surgeons is monumental task and it requires a teacher who has great surgical skill,…

2784: case 350 vertical chop for a resident

For a resident surgeon with about 350 cataract cases, adopting vertical chop is a natural progression toward greater efficiency and…

2783: imaging shows severe zonulopathy

Severe zonulopathy with marked phacodonesis requires early mechanical stabilization of the capsular bag to permit safe cataract surgery. After creating…

2782: cannula ejection causes damage

A 27-gauge cannula can be inadvertently ejected from a pressurized syringe during cataract surgery when excessive force is applied to…

2781: sudden choroidal hemorrhage

Managing a sudden choroidal hemorrhage during this Boston K-Pro surgery requires immediate control of intraocular pressure and rapid stabilization before…

2780: VIP patient with PXF and IFIS

In this case I need to perform cataract surgery in a VIP patient with a 4 mm pupil, blue iris,…

2779: capsule split with posterior polar

When a posterior capsule split occurs during surgery for a posterior polar cataract, the priority is to preserve the anterior…

2778: Podcast 142: Francis Price MD

I wish I heard this podcast when I was a younger surgeon, still in my first few years of practice.…

2777: case 174 shows good progress but…

Cataract surgery case 174 often sits squarely in the “danger zone” of surgical learning because the new surgeon has accumulated…

2776: pre-existing posterior capsule rupture

Cataract surgery in an eye with a posterior capsule rupture from a prior intravitreal injection requires careful preoperative planning and…

2775: cortical pre-aspiration before phaco

Cortical pre-aspiration prior to phacoemulsification is a useful strategy for reducing lens mobility and improving surgical control before nucleus removal.…

2774: stopper knot technique to secure IOLs

The stopper-knot technique using expanded polytetrafluoroethylene (Gore-Tex) sutures offers a stable, high-integrity method for scleral fixation of a dislocated intraocular…

2773: global zonular laxity and weakness

Our guest surgeon, Dr Sergio Kwitko from Brazil, is superbly talented at complex anterior segment surgery and he presented this…

2772: nanophthalmic eye with astigmatism

This is a complete cataract case, shown start to finish, where I perform the entire surgery and present it to…

2771: Podcast 141: Jerman Alqahtani MD

The first time I met Dr Jerman Alqahtani was about 20 years ago at a wetlab session at the ASCRS…

2770: first ever posterior capsule rupture

This complication happens to 100% of cataract surgeons: the posterior capsule ruptures during phaco and now you must complete the…

2769: first time using capsular tension ring

Using a capsular tension ring for the first time requires a deliberate, unhurried approach and a clear understanding of zonular…

2768: Hoffman Pocket Technique Sutured IOLs

The Hoffman pocket technique offers a valuable approach for securing scleral-sutured intraocular lenses in eyes with inadequate capsular support while…

2767: removal of glaucoma seton footplate

This is a complex case where a patient with anirida and multiple other ocular issues underwent placement of a kerato-prosthesis…

2766: Hey Uday, why the baby rhexis?!?!

One of the most common sayings here on CataractCoach.com is, “Don’t make a baby rhexis!” because a small capsulorhexis will…

2765: phaco with intra-corneal ring segments

Managing cataract surgery in an eye with prior corneal intra-stromal ring segments, such as Intacs, requires careful preoperative evaluation and…

2764: Podcast 140: Joaquin De Rojas

Our guest surgeon is Dr Joaquin De Rojas, an up and coming star in the ophthalmology world who reminds us…

2763: you should be here after 1200 cases

After completing 1,200 cataract surgeries, a surgeon is typically considered experienced and should demonstrate a mature level of surgical judgment,…

2762: pinhole pupilloplasty in corneal trauma

Dr. Amar Agarwal’s pinhole pupilloplasty offers an elegant optical solution for patients with severe corneal scarring, where traditional refractive correction…

2761: operating on an eye with nystagmus

If you are an expert cataract surgery with thousands upon thousands of cases of experience, you may be tempted to…

2760: standing Ahmed glaucoma valve

This patient has multiple systemic medical issues and cannot lie supine for ophthalmic surgery. In this case the patient needs…

2759: brunescent cataract cross chop

The cross-chop pre-chop technique is particularly advantageous when managing a dense brunescent cataract, where conventional divide-and-conquer or single-plane chopping may…

2758: three great cataract surgery secrets

Three “Secret” Cataract Surgery Maneuvers These Subtle Techniques Enhance Control, Visibility, and Safety Cataract surgery has undergone remarkable refinement over…

2757: Podcast 139: Abhay Vasavada MD

Dr Abhay Vasavada is a renowned surgeon, pioneer, and educator who has changed the way we approach complex cataract cases.…

2756: unedited resident case takes 28 min

We try to feature a resident surgery case every week so that our younger colleagues can learn the basics. I…

2755: split bag without a vitrector available

This patient has a posterior polar cataract and our guest surgeon is operating in an environment that does not have…

2754: Monocular patient with a surprise

Our guest surgeon does a great job of managing surprise zonulopathy encountered during cataract surgery in this monocular patient. Discovering…

2753: gonio-synechio-lysis in clinic & OR

Performing goniosynechiolysis at the slit lamp can be effective for selected eyes with peripheral anterior synechiae (PAS) following angle closure.…

2752: Quiz: Why is the IOL dropping?

Our anonymous surgeon thinks that the case is going beautifully but then with IOL insertion, the entire IOL starts dropping…

2751: cleaning the bag and then it splits open

A highly experienced surgeon is more likely to experience a rupture of the posterior capsule during cortex removal rather than…

2750: Podcast 138: Cyres Mehta MD

Our podcast guest has definitely achieved a life well-lived. Dr Cyres Mehta from Mumbai, India is an ophthalmologist, a professional…

2749: Quiz: Why did we get iris bleeding?

This case seems like a good, routine cataract surgery but then towards the end there is some bleeding. What has…

2748: should we do iris sphincterotomies?

Small pupils can significantly complicate cataract surgery by limiting visualization and access to the lens. When pharmacologic dilation is inadequate,…

2747: metallic foreign body induced cataract

Traumatic cataracts resulting from a penetrating injury, such as this case of a metal wire perforating the cornea and lens…

2746: fixing acute glaucoma at the slit lamp

Our guest surgeon Professor Ramesh Ayyala is a renowned expert surgeon for complex anterior segment cases and in this video…

2745: World’s First Robotic Cataract Surgery

In a landmark moment for ophthalmology, in October, Horizon Surgical Systems announced the successful completion of the world’s first in-human cataract surgeries…