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…
2679: forced to operate without supervision
This is an unfortunate situation where a resident surgeon in training is being forced to operate alone without supervision by…
2678: aphakic with zonulopathy, now what?
This patient had cataract surgery about 2 months ago and when the original surgeon was removing the cataract, zonulopathy was…
2677: great chopping technique to learn
It was 1998 (I know, a long time ago) and I was fortunate to get a VHS tape of Dr…
2676: shallow AC with iris prolapse + MIGS
We have all been there to experience iris prolapse in the presence of a poorly dilating pupil, a floppy iris,…
2675: eye with migrating seton tube
You are not having déjà vu about watching a similar video — yesterday the case was fixing a fibrosed seton…
2674: fixing a fibrosed valved seton tube
As you know, CataractCoach is your resource for everything cataract surgery but also the rest of anterior segment surgery including…
2673: Podcast 127: Ask Me Anything!
Today our podcast is just me, answering so many great questions that have been sent in by our viewers and…
2672: resident case 120 is great
Our anonymous resident is performing case 120 and is doing a great job. For a beginning surgeon learning the divide…
2671: cataract after penetrating ocular injury
In a patient presenting for cataract surgery one year after a penetrating injury with a metal wire through the limbus,…
2670: the chopper broke during surgery!
You are a resident doing cataract surgery and when you try to withdraw your chopper from the paracentesis, the tip…
2669: Quiz: What does this sign mean?
You are about to start doing phaco chop for this white cataract and you notice that the capsulorhexis is no…
2668: high hyperope with high astigmatism
Cataract surgery in highly hyperopic eyes with short axial lengths and significant corneal astigmatism is technically demanding. The shallower anterior…
2667: optic haze with Light Adjustable Lens
Our guest surgeon today is Dr Steve Safran who has great surgical talent for complex revision cases especially with IOL…
2666: Podcast 126: Bob Osher MD revisited
I was recently asked which ophthalmologist had the biggest impact on my career (and life) and it is without a…
2665: How to reposition a Toric IOL
Repositioning a toric intraocular lens (IOL) is indicated when postoperative rotation leads to suboptimal astigmatic correction, typically beyond 10 degrees…
2664: easy approach to Hydrus glaucoma stent
I travel a lot to give lectures internationally at many ophthalmic meetings, averaging about 20 countries per year. When I…
2663: Quiz: How to fix this dislocated IOL?
In this CataractQuiz™ we have a patient who had cataract surgery elsewhere and now presents with a dislocated IOL and…
2662: iris bombé and acute glaucoma
In cases where iris bombé presents alongside acute angle-closure glaucoma and cataract, definitive surgical management must address all three components:…
2661: surprise zonular compromise
This is a great case showcasing the talents of a fantastic surgeon who notices zonulopathy during phaco of a dense…
2660: precision in stop-and-chop
Yesterday on our CataractCoach Podcast we featured Nitin Chopra, MD, MBA who worked as a Wall Street Financier for more…
2659: Podcast 125: Nitin Chopra MD MBA
As ophthalmologists, we are smart and hard working and that’s how we earned one of the coveted spots to do…
2658: resident case 260 with pupil ring
Our anonymous resident performs cataract case number 260 of training and uses a pupil expansion ring. The skills are good…
2657: Quiz: Why did this happen? Help us!
We need your help. With the collective minds and experience of thousands of ophthalmologists, I trust that we can solve…
2656: Rosatelli Spin and wedge fracture
The Rosatelli Spin is a surgical maneuver used during cataract surgery to facilitate nucleus rotation within the capsular bag to…
2655: eroding seton, iris prolapse, high IOP
This is a very tough case where a patient previously had an Ahmed Glaucoma Valve seton placed and it is…
2654: dense white cataract with a surprise
Approaching cataract surgery in a dense white cataract with a fibrotic anterior capsule presents significant challenges that require careful planning…
2653: soft cataracts versus hard cataracts
Yesterday, our CataractCoach Podcast featured Dr Pradip Mohanta who has a YouTube channel where he teaches ophthalmic surgery. During our…
2652: Podcast 124: Pradip Mohanta MD
Dr Pradip Mohanta is a very talented ophthalmic surgeon and teacher with a YouTube channel which is full of great…
2651: “My worst post-op day 1 ever”
Imagine a case that is so taxing that the nucleus drops in a monocular patient, but then it gets even…
2650: Explanting a segmented ClearView 3
The Lenstec Clearview 3 multifocal intraocular lens (IOL) is designed to provide vision at multiple distances, often reducing the need…
2649: Quiz: When did the capsule split?
Another fun CataractQuiz™ with a challenge to figure out when the capsule split open. Looking at the title picture, you…
2648: Rosatelli Double Capsulorhexis
We love Dr Neto Rosatelli and his incredible surgical skill. An intumescent white cataract poses significant challenges during cataract surgery…
2647: posterior polar with split capsule
We know that posterior polar cataracts are very challenging because the capsule is weak, fragile, or even partially absent at…
2646: Quiz: Where did the capsule go?
Our guest surgeon Professor Ramesh Ayyala from University of South Florida in Tampa, USA shows us a very challenging case…
2645: Podcast 123: Stephen Lash MD
Dr Stephen Lash is a consultant ophthalmic surgeon in Southampton, England and the author of a book that will be…
2644: Case 600 for a new graduate
The learning curve for cataract surgery is steep and prolonged, reflecting the complexity of the procedure and the fine motor…
2643: very young patient with white cataract
Performing cataract surgery on young patients with intumescent white cataracts presents a unique and formidable challenge for ophthalmic surgeons. Unlike…
2642: Quiz: What is different in this case?
Look carefully at this title picture and tell me what you see. Yes, the patient has a whitish cataract but…
2641: pediatric lensectomy in an infant
Performing a lensectomy in this 5-month-old infant with congenital cataracts requires meticulous planning and execution, as both the surgical technique…
2640: the secret to get the nucleus out of the bag
In cataract surgery, managing a small pupil presents several intraoperative challenges, particularly in safely prolapsing the nucleus out of the…
2639: massaging intumescent cataracts
In cataract surgery, the Argentinian flag sign is a well-known complication that can occur during capsulorhexis in cases of intumescent…
2638: Podcast 122: Milind Pande MD
Dr Milind Pande (or Mr Milind Pande as surgeons are properly addressed in England) is a world class ophthalmologist who…
2637: resident divide and conquer case
There is a good reason that the most commonly learned initial technique for nucleo-fractis is the divide and conquer method.…
2636: mini-rhexis with phaco handpiece
This video showcases an advanced technique (not for beginners) to perform a capsulorhexis in eyes with white cataracts. The technique…
2635: phaco and GATT for glaucoma
The first time I heard of the GATT (Gonioscopy-Assisted Transluminal Trabeculotomy) technique was about 10 years ago from the work…
2634: Quiz: When did the capsule break?
Our last case was so popular that we are presenting the same challenge: can you determine, when did this capsule…
2633: Little Capsulorhexis Rescue Technique
This technique is absolutely critical and it is something that every cataract surgeon must master. It allows us to rescue…
2632: AC infusion & needle decompression
We have featured many videos about how to safely perform a capsulorhexis for an intumescent white cataract. In this technique…