Studies have shown that 1 out of 3 posterior polar cataract surgeries result in a ruptured posterior capsule. Here’s the…
Pre-Chop with just 2 Choppers
Guest surgeon Dr Valentin Apostolov from Amsterdam shows us his technique for splitting a dense nucleus into small fragments before…
From routine case to disaster in 1 second
When I first saw this video, which was submitted by an anonymous surgeon, I was in disbelief. I simply could…
Review: The Angle of Approach for Incisions
The angle of approach of the keratome will determine the tunnel length of our phaco incision. If the angle is…
Tough cataract case for a resident
We are thankful for the many video submissions we receive from our readers, particularly from residents or registrars who are…
Lessons Learned with 3-piece IOLs
Most cataract surgeons now use single-piece acrylic IOLs for the majority of their cases, with three-piece IOLs reserved for unusual…
Cataract Quiz: IOL with capsule tear
Cataract Quiz time: you have removed the lens nucleus and the cortex and you see that the anterior capsular rim…
Enlarge the Capsulorhexis
A small capsulorhexis makes nucleus removal more difficult, especially when we have a dense cataract. When the entire lens hardens…
Complete Case: Floppy Iris & Loose Zonules
There is a benefit to watching a video of a complete cataract case, from start to finish. This is particularly…
Recovering from Argentinian Flag Sign
We have an entire section devoted to achieving success with white cataracts, including intumescent white cataracts. But even in expert…
Cataract Surgery in MegaloCornea
This patient has a huge cornea with a diameter of about 14 mm and an equally large anterior segment including…
Staying calm when you see danger signs
The second that I see this round hole, I know that it is a danger sign. We have previously explained…
Does cataract surgery pose a viral risk?
Our colleagues from the University of Toronto recently did an experiment to determine if cataract surgery poses a risk of…
Cataract Quiz: Which direction for capsulorhexis?
In this Cataract Quiz we have a patient with a white cataract and as we start to tear the capsulorhexis,…
Should you use a trifocal IOL in Fuchs’?
This is an unusual case: the patient has Fuchs’ Corneal Dystrophy and yet we are implanting a trifocal IOL. Usually,…
Intra-scleral Gore-Tex IOL fixation
This young patient sustained severe ocular trauma a few years ago and he had a surgical repair done in another…
Descemet Membrane Detachment
When we make a phaco incision that involves the cornea, there is always a risk of having focal detachment of…
Review: Small Eye with high power IOL
Cataract surgery can provide an incredible refractive result, particularly for small eyes which are highly hyperopic. We can correct 10…
Double Hydro-Delination Technique
Hydro-delineation is a useful technique which allows us to separate a central endo-nucleus from an epi-nuclear shell. In this case,…
Lessons from COVID-19
We are now back in our clinics seeing routine patients after almost 2 months of hiatus due to COVID-19. The…
Cataract Quiz: What do you do now?
This is a complication that is sure to happen to every beginning cataract surgeon: a broken posterior capsule as a…
Complete Case: PXF supra-capsular chop
The previous case (reference 611) from yesterday, showed the first eye of this patient where the technique was phaco chop…
Complete Case: PXF chop in the bag
Today (video 611) and tomorrow (video 616) are the two eyes of the same patient who has pseudo-exfoliation syndrome and…
Hydro-delineation makes chopping easier
Performing hydro-delineation helps to separate the denser, central endo-nucleus from the softer epi-nuclear shell. This endo-nucleus is smaller in diameter,…
Review: Chopper protects the capsular bag
We work in a very tiny space of just a fraction of a milliliter: the volume of the anterior chamber…
Toric IOL use in Radial Keratotomy
We have featured many videos of cataract surgery in eyes with prior radial keratotomy. Many of these patients seek out…
Techniques to Open DMEK Grafts
Today was supposed to be the World Cornea Congress in Boston (May 14, 2020) and even though it is cancelled,…
Fixate the eye with your other hand
The problem with using two hands to hold the capsulorhexis forceps is that you lose the ability to have the…
Examine instruments before using them
We must examine our instruments before using them to ensure that they are intact and in normal, working condition. In…
Show me a beautiful cataract surgery
Here on CataractCoach.com we have hundreds of teaching videos, and many of them are of very complex or complicated cases…
Newbie Resident Cataract Surgery
Even experienced surgeons can learn by watching novice surgeons operate. A nickname for a novice is a newbie since the…
Review: Embed the phaco tip without ultrasound
This review is particularly important for ophthalmologists who do cataract surgery for patients with mild to moderate nuclear density. This…
Pre-Chop Variations for Cataract Surgery
In this video, submitted by Dr. Yaun Lin from Casablanca, Morocco, we can learn multiple different variations of Pre-Chop. This…
Expulsive Choroidal Hemorrhage!
This video is a MUST SEE! An expulsive choroidal hemorrhage is a rare complication than any cataract surgeon must be…
Cataract Quiz: Chopper breaks zonules
The resident surgeon has good hands and is talented, but like all new surgeons, he is lacking in experience. The…
Posterior capsule rupture – finish the case
This resident case is a challenge: the posterior capsule is ruptured but there is still cortex to be removed. Can…
Benchmark: Senior Resident Chop
This is a good benchmark for what a senior resident should be able to achieve by the end of residency…
Capsulorhexis forceps with ruler marks
Our guest surgeon is Dr. Ron J. Smith who has been instrumental in teaching cataract surgery at UCLA for the…
Review: IntraCameral Medications
Putting medication directly into the anterior segment of the eye can be very effective. There are many different medications that…
DMEK surgery with pre-loaded graft
We have previously featured Descemet Membrane Endothelial Keratoplasty here on CataractCoach with a video from one of my residents and…
Seems like a good chop but…
Another video for our series of Complete Cataract Cases, we present a surgery of me operating. During this surgery, I…
Cataract Quiz: Rescue this Rhexis!
For this Cataract Quiz we have guest surgeon Dr. Naveen Gopal from Bangalore, India showing us a tough case that…
Congenital Iris Coloboma Repair
We have another video from master surgeon Dr. Valentin I. Apostolov from Amsterdam. In this video he shows us his…
Trabeculotomy & Cataract Surgery
Because cataract surgery alone tends to decrease intra-ocular pressure, there is often a benefit of combining it with glaucoma surgery.…
Resident Surgeon Stop-and-Chop
This is an anonymously submitted video of a resident performing cataract surgery number 60 and the technique is stop-and-chop. This…
Review: Rule of 9s for Sulcus IOL Power
With newly developed methods of IOL power calculation, we are approaching 90% or higher accuracy of achieving +/- 0.5 D of…
Pupillary Cerclage Technique
In cases of chronic traumatic mydriasis, we can use sutures to reconstruct a pupil of a reasonable diameter. We have…
Lens Snare Technique
More than a decade ago in 2009, Dr. Bhattacharya in India described a way of using a lens snare to…
Cataract Quiz: Why did this IOL decenter?
The patient underwent a combined cataract surgery with pars plana vitrectomy. The cataract surgery went well and even today, 1…
Predicting Pseudo-Exfoliation weakeness
We have previously covered the topic of pseudo-exfoliation (PXF) in detail here on CataractCoach. It is an important topic because…