This patient had a prior pars plana vitrectomy and then a three-piece IOL was implanted, but now, months later, the…
2598: Avoid MFIOLs in these patients!
These are the patients where I tend to avoid using multi-focal and trifocal IOLs. While these diffractive design MFIOLs can…
2597: reverse pinhole pupilloplasty
Yesterday, our amazing CataractCoach Podcast (the top podcast in all of ophthalmology!) featured Dr Priya Narang who just won a…
2596: Podcast 116: Priya Narang MD
If you were at the last ASCRS meeting then you know that the winner of the high impact surgical tip…
2595: Best of CC 12: traumatic zonular loss
The Best of CataractCoach sessions have been performed at many live meetings with great reviews from the audience, typically rating…
2594: Best of CC 11: IOL stuck in incision
The Best of CataractCoach sessions have been performed at many live meetings with great reviews from the audience, typically rating…
2593: Best of CC 10: dense cataract, zonular loss
***This is my favorite case of the entire session*** The Best of CataractCoach sessions have been performed at many live…
2592: Best of CC 9: difficult white cataracts
The Best of CataractCoach sessions have been performed at many live meetings with great reviews from the audience, typically rating…
2591: Best of CC 8: the dreaded snap sign
The Best of CataractCoach sessions have been performed at many live meetings with great reviews from the audience, typically rating…
2590: Best of CC 7: hole punch danger sign
The Best of CataractCoach sessions have been performed at many live meetings with great reviews from the audience, typically rating…
2589: Podcast 115: Deepak Megur MD
We all love to learn surgical pearls from YouTube videos, and our podcast guest today, Dr Deepak Megur, is a…
2588: Best of CC 6: phaco wound burn
The Best of CataractCoach sessions have been performed at many live meetings with great reviews from the audience, typically rating…
2587: Best of CC 5: posterior subcapsular
The Best of CataractCoach sessions have been performed at many live meetings with great reviews from the audience, typically rating…
2586: Best of CC 4: iris prolapse
The Best of CataractCoach sessions have been performed at many live meetings with great reviews from the audience, typically rating…
2585: Best of CC 3: large myopic eye
The Best of CataractCoach sessions have been performed at many live meetings with great reviews from the audience, typically rating…
2584: Best of CC 2: small hyperopic eye
The Best of CataractCoach sessions have been performed at many live meetings with great reviews from the audience, typically rating…
2583: Best of CC 1: traumatic zonulopathy
The Best of CataractCoach sessions have been performed at many live meetings with great reviews from the audience, typically rating…
2582: Podcast 114: Andrzej Dmitriew MD
Our podcast guest is Dr Andrzej Dmitriew who is more than simply an ophthalmologist. He is an amazing person who…
2581: resident case of posterior synechiae
As a resident you want to start out with doing mostly routine cases of moderate nuclear density, with good dilation,…
2580: and just like that the capsule splits
We are preferentially looking for surgical complication videos (and we can feature them anonymously if desired) and today our guest…
2579: total anterior segment reconstruction
Our guest surgeon does a great job with a very difficult case. This patient has an opacified IOL that is…
2578: the stress of floppy iris syndrome
Performing is a pleasure but it can also be stressful, particularly when we run into challenging cases such as this…
2577: the risks of a femtosecond laser
I am always happy to add new technologies to our surgery center and operating room because I like having more…
2576: two incision push pull rhexis
On yesterday’s CataractCoach podcast we featured renowned pediatric ophthalmologist Professor Ken Nischal MD who has pioneered surgical techniques for cataract…
2575: Podcast 113: Ken Nischal MD
Professor Ken Nischal MD is a pioneer in pediatric anterior segment surgery, particularly cataract and corneal surgery for our youngest…
2574: Equalizing Surgical Education
One of the challenges facing the next generation of surgeons is access to great surgical education. Different countries have varying…
2573: How to adjust IOL calcs for 2nd eye
This is a question that I am commonly asked: the patient had a refractive surprise with the cataract surgery of…
2572: hereditary lens subluxation
When we see hereditary lens subluxation in a younger patient, we should think of systemic conditions which can be associated…
2571: zonular loss noted in cortex removal
In this resident case, you can clearly see zonular loss during cortex removal but you could have also seen it…
2570: Quiz: Why doesn’t the IOL center?
Time for another CataractQuiz™: The case seemed routine and proceeded well without any issues. Then you implanted the toric IOL…
2569: PreTerminal Chop Technique
On yesterday’s CataractCoach Podcast we featured Prof. Sourabh Patwardhan MD who runs a training program to teach techniques like phaco…
2568: Podcast 112: Sourabh Patwardhan MD
Our guest surgeon, Dr Sourabh Patwardhan is a renowned professor and surgical teacher for anterior segment surgery, particularly cataract surgery.…
2567: a dull keratome is not worth the risk
Today we are featuring a resident case where the video is shown at 2x speed since the surgical time is…
2566: spiral out capsulorhexis technique
We love white cataracts because it is a true miracle of modern medicine where we can take truly blind people…
2565: traumatic cataract with dye leak
This patient sustained an ocular injury which resulted in a traumatic cataract with zonulopathy. In these cases, my first step…
2564: pterygium excision with auto-graft
Part of being a great cataract surgeon is having the skills to do all types of anterior segment surgery including…
2563: Cataract in Axenfeld-Rieger Syndrome
A century ago, Dr Axenfeld described a series of patients with congenital abnormalities of the anterior segment of the eye…
2562: cataract with global zonular laxity
What is the best way to perform cataract surgery when the patient has global zonular laxity? When all of the…
2561: Podcast 111: Miguel Rechichi MD
When I was at the Italian Cataract & Refractive surgery meeting (Associazione Italiana di Chirurgia della Cataratta e Refrattiva), I…
2560: resident case 100 horizontal chop
If you are a resident, fellow, or young surgeon who has done fewer than 500 cataract surgeries, then you owe…
2559: two cases of fixing zonular defects
Our guest surgeon has submitted two cases of fixing zonular defects during cataract surgery. In one case the zonulopathy appears…
2558: corneal laceration & lens puncture
As surgeons, we love the challenge of a traumatic case because of the added complexity and the problem solving nature…
2557: Ahmed Clear Path seton for glaucoma
Since CataractCoach™ encompasses cataract, glaucoma, cornea & refractive surgery, we want to make sure to complete out extensive library of…
2556: Quiz: What is the huge problem here?
In this case, after inserting the toric EDOF IOL, I noticed a huge problem here. If you look closely at…
2555: How will you recenter this IOL?
On yesterday’s CataractCoach Podcast we featured Dr Beeran Meghpara from Wills Eye Hospital in Philadelphia and we talked about very…
2554: Podcast 110: Beeran Meghpara MD
I attend many ophthalmic surgical lectures every year and many meetings in many countries. And you know that the lecture…
2553: ready to move to stop-and-chop
If you are a resident surgeon, how do you know that it’s time to move on from divide-and-conquer and learn…
2552: The capsule just split. Now what?
This has happened to ALL of us cataract surgeons. And if it has not yet happened to you, that just…
2551: Should you aspirate synechiae?
This patient had a prior trabeculectomy and with post-operative inflammation developed synechiae of the iris onto the anterior lens capsule.…
2550: Schlemm’s canal stent gets damaged
You’ve just finished performing a beautiful cataract surgery and now the IOL is securely within the capsular bag and the…