2738: Quiz: What is this catastrophic failure?

Look carefully at this picture and in particular that line at the tip of the yellow arrow. What is going…

2737: triangle technique for iris cerclage

An iris cerclage (purse-string) suture is a valuable pupilloplasty technique used to manage chronic mydriasis when sphincter function is lost…

2736: Podcast 136: Dr Alison Chiu

Our podcast guest is the amazing Dr Alison Chiu who practices at Pure Sight Eye Surgeons in Sydney, Australia. She…

2735: resident tracks own surgical progress

This is a very interesting video where a resident tracks surgical progress from case 1 to case 100 with regards…

2734: zonular loss and vitreous prolapse

This is a very tough case of a traumatic cataract with zonular loss and vitreous prolapse into the anterior chamber.…

2733: late Descemet membrane detachment

Late Descemet membrane detachment (DMD) after cataract surgery in eyes with prior Descemet Membrane Endothelial Keratoplasty (DMEK) is an uncommon…

2732: cyclo cryo ablation to control IOP

Our guest surgeon and noted glaucoma expert, Professor Ramesh Ayyala, demonstrates the technique of cyclo cryo ablation to help control…

2730: left behind cortex will swell up!

It’s tempting when you’re a beginning surgeon to just leave some residual cortex in the capsular bag but then the…

2729: Podcast 135: Dr John Ferris

What are the most effective ways to teach surgery to the next generation of ophthalmologists? In this podcast, renowned teacher…

2728: Malyugin rings can be traumatic

The Malyugin ring is an effective tool for pupil expansion during cataract surgery, but its use can sometimes lead to…

2727: Morgagnian MSICS with a surprise

Manual Shelved-Incision Cataract Surgery (MSICS) is an excellent technique for managing Morgagnian cataracts due to its ability to handle liquefied…

2726: Quiz: what is happening to the rhexis?

Time for another CataractQuiz™ — look carefully at this photo and ask yourself what is happening to the capsulorhexis? Why…

2725: how to perform an evisceration

This video is tough to watch for an anterior segment surgeon. There are rare cases where we need to perform…

2724: safely manage a shallow capsular bag

Managing a shallow capsular bag during cataract surgery requires delicate technique and strategic planning to avoid complications such as zonular…

2723: light pipe illumination to clean the bag

In cataract surgery, optimal visualization of the posterior capsule is crucial for safe and effective polishing. The light pipe, traditionally…

2722: Podcast 134: Gustavo Hüning MD

Our guest today, Dr Gustavo Hüning, is an outstanding surgeon who does cataract surgery, retina surgery, and also surgical repair…

2721: resident case with prior lens puncture

The key to this case is making your capsulorhexis the normal size in 3 quadrants but then enlarging it to…

2720: How to deal with this small pupil?

Iris hooks are a reliable method for mechanically expanding a small pupil during cataract surgery, especially when pharmacologic dilation is…

2719: traumatic cataract with zonular loss

This is a very tough case because of the prior trauma which has resulted in severe zonular loss and a…

2718: Eye surgery simulator improves skills

Have you ever wanted to learn and practice surgical techniques prior to performing surgery on patients? The best solution is…

2717: Should you keep or remove this phakic IOL?

Our guest surgeon is very talented surgically and manages to perform a beautiful cataract surgery in a patient while operating…

2716: IOL scaffold technique in PC rupture

The IOL scaffold technique is an effective intraoperative strategy in managing posterior capsule rupture during cataract surgery. When the posterior…

2715: Podcast 133: Tina Khanam MD

Understanding imposter syndrome and unconscious bias are topics that are passionate to Dr Tina Khanam and in this podcast we…

2714: great skill after 4500 cataract cases

Our guest surgeon has been working hard and in the first few years after training has already performed 4500 cataract…

2713: trabeculectomy with releasable sutures

On a recent CataractCoach Podcast (the top podcast in all of ophthalmology), I was surprised when an ophthalmologist from outside…

2712: Quiz: What are these capsule wrinkles?

This is truly a challenging quiz and very few surgeons can look at this picture and correctly determine what will…

2711: tPA for supra-choroidal hemorrhage

Suprachoroidal hemorrhage, often a devastating complication of intra-ocular surgery or trauma, can result in rapid vision loss and globe deformation…

2710: Flip & Chop with a white cataract

Every time I post a flip and chop video, I get many emails asking if this technique is also applicable…

2709: YAG laser in milky white cataracts

In cases of intumescent white cataracts, particularly those with high intra-lenticular pressure, using a Nd:YAG laser to perform an anterior…

2708: Podcast 132: Guillermo Amescua MD

Professor Guillermo Amescua MD is an expert in complex anterior segment surgery including cataract, cornea, and ocular surface. We have…

2707: resident case 60 is pretty good

Evaluating a cataract surgery performed by a beginner with approximately 60 cases of experience using the divide and conquer technique…

2706: get rid of that loose, old bag!

In cataract surgery with severe global zonulopathy and marked phacodonesis, complete removal of the capsular bag may be necessary to…

2705: here is how to fix the capsulorhexis

What should you do if you make a capsulorhexis and it ends up too small and not centered? You enlarge…

2704: cataract after ruptured globe repair

Performing cataract surgery in an eye with a recent corneal laceration and a lacerated anterior lens capsule requires careful surgical…

2703: lens milk leaks into vitreous cavity

In intumescent white or Morgagnian cataracts, the liquefied lens cortex, often referred to as milky lens fluid, can sometimes migrate…

2702: sudden patient movement in surgery

Sudden patient head movement during cataract surgery poses a significant risk to intraocular structures and can lead to serious complications…

2701: Podcast 131: Claudio Trindade MD

Dr Claudio Trindade is a surgeon, inventor, and pioneer from Belo Horizonte, Brazil who is the youngest ophthalmologist to ever…

2700: Aussie resident does a white cataract

Learning to perform cataract surgery on white cataracts during residency is a valuable yet challenging experience that builds surgical confidence…

2699: it is fine if the first chop fails…

Persistence is key when performing phaco chop, especially if the initial chop does not fully propagate through the nucleus. A…

2697: press and roll technique for DMEK

Our guest surgeon presents a technique of using an air bubble, which is rolled around the anterior chamber while the…

2696: Why I offer all lens implant options

It is essential to offer patients the full range of intraocular lens implant options to provide truly individualized and optimal…

2695: re-thinking intumescent white cataracts

On yesterday’s CataractCoach Podcast (the top podcast in all of ophthalmology!) we discussed applying engineering principles to challenging cataract surgery…

2694: Podcast 130: Pannet Pangputhipong MD

Dr. Pannet Pangputhipong, a pioneer of phacoemulsification in Thailand, is renowned for his innovative cataract techniques and exceptional teaching. He…

2693: this means you need more anesthesia

During cataract surgery under topical anesthesia, if the patient becomes uncooperative and exhibits a strong Bell’s reflex, intraoperative management must…