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…
2698: Yamane SFIOL without using forceps
Performing the Yamane intrascleral haptic fixation (ISHF) technique without intraocular forceps is possible using externalization methods and careful instrument handling.…
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…
2692: Quiz: Why is the epi-nucleus stuck?
Time for another CataractQuiz™: Look carefully at the title picture and ask yourself why the epi-nucleus stuck despite good vacuum…
2691: This just happened. Now what?
Our anonymous surgeon notices a very clear red reflex in this quadrant during cataract surgery. What is happening in this…
2690: gonio-synechiolysis for angle closure
Gonio-synechiolysis using the irrigation/aspiration probe is a useful adjunct during cataract surgery in eyes with acute angle closure glaucoma and…
2689: flip & chop with more nuclear density
Last week we featured a video of me performing flip and chop on a cataract of modest nuclear density, so…
2688: intra-lenticular foreign body
This patient sustained an open globe injury where a metallic foreign body pierced the cornea and the lens capsule and…
2687: Podcast 129: Ben LaHood MD
Dr Ben LaHood is a cataract and refractive surgeon in Adelaide, Australia who is undoubtedly one of the funniest ophthalmologists…
2686: Are you as good as this resident?
The ability for residents to learn cataract surgery has increased dramatically over the past many years due to the numerous…
2685: beautiful job for 600 cases
During your residency training performing about 150 to 200 cataract surgeries is typical in the USA, with some programs offering…
2684: Quiz: What about this MIGS bleeding?
In this case the patient has a successful cataract surgery but then during the MIGS procedure, a trabeculotomy is done…
2683: Quiz: the nucleus dropped. now what?
100% of cataract surgeons will experience the complication of a ruptured posterior capsule and then having the nucleus drop into…
2682: Why do you like flip & chop so much?
This is one of our Complete Cataract Case series where we show the entire case from start to finish and…
2681: the capsule splits in posterior polar
In the two cases of posterior polar cataract shown here, the posterior capsule split occurs and the anterior hyaloid face…
2680: Podcast 128: Victor Caparas MD
I recently had the pleasure of speaking at a great eye conference in Manila in the Philippines which was run…