This patient has multiple systemic medical issues and cannot lie supine for ophthalmic surgery. In this case the patient needs…
2759: brunescent cataract cross chop
The cross-chop pre-chop technique is particularly advantageous when managing a dense brunescent cataract, where conventional divide-and-conquer or single-plane chopping may…
2758: three great cataract surgery secrets
Three “Secret” Cataract Surgery Maneuvers These Subtle Techniques Enhance Control, Visibility, and Safety Cataract surgery has undergone remarkable refinement over…
2757: Podcast 139: Abhay Vasavada MD
Dr Abhay Vasavada is a renowned surgeon, pioneer, and educator who has changed the way we approach complex cataract cases.…
2756: unedited resident case takes 28 min
We try to feature a resident surgery case every week so that our younger colleagues can learn the basics. I…
2755: split bag without a vitrector available
This patient has a posterior polar cataract and our guest surgeon is operating in an environment that does not have…
2754: Monocular patient with a surprise
Our guest surgeon does a great job of managing surprise zonulopathy encountered during cataract surgery in this monocular patient. Discovering…
2753: gonio-synechio-lysis in clinic & OR
Performing goniosynechiolysis at the slit lamp can be effective for selected eyes with peripheral anterior synechiae (PAS) following angle closure.…
2752: Quiz: Why is the IOL dropping?
Our anonymous surgeon thinks that the case is going beautifully but then with IOL insertion, the entire IOL starts dropping…
2751: cleaning the bag and then it splits open
A highly experienced surgeon is more likely to experience a rupture of the posterior capsule during cortex removal rather than…
2750: Podcast 138: Cyres Mehta MD
Our podcast guest has definitely achieved a life well-lived. Dr Cyres Mehta from Mumbai, India is an ophthalmologist, a professional…
2749: Quiz: Why did we get iris bleeding?
This case seems like a good, routine cataract surgery but then towards the end there is some bleeding. What has…
2748: should we do iris sphincterotomies?
Small pupils can significantly complicate cataract surgery by limiting visualization and access to the lens. When pharmacologic dilation is inadequate,…
2747: metallic foreign body induced cataract
Traumatic cataracts resulting from a penetrating injury, such as this case of a metal wire perforating the cornea and lens…
2746: fixing acute glaucoma at the slit lamp
Our guest surgeon Professor Ramesh Ayyala is a renowned expert surgeon for complex anterior segment cases and in this video…
2745: World’s First Robotic Cataract Surgery
In a landmark moment for ophthalmology, in October, Horizon Surgical Systems announced the successful completion of the world’s first in-human cataract surgeries…
2744: ensure a free capsulotomy with femto
Ensuring a complete anterior capsulotomy when using the femtosecond laser is critical for the safety and success of cataract surgery.…
2743: Podcast 137: Ticiano Giobellina MD
One day you think that it would be great to get a few colleagues together to discuss challenging cases and…
2742: Case 200 and already doing chop!
Cataract surgery is a skill that continually evolves, and among the most empowering techniques an ophthalmologist can master is phaco…
2741: Blanco Puncion en Catarata Blanca
Wowza, Cataract Coach is speaking a little Spanish! The Blanco Punción technique, developed by Dr. Ariel Blanco, is used to…
2740: recovering from Argentinian flag sign
This has happened to all of us! The Argentinian flag sign occurs when the anterior capsule tears peripherally during capsulorhexis…
2739: severe anterior staphyloma
There are unusual cases which require incredible surgical skill such as this complex case of a young patient with Axenfeld-Rieger…
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…
2731: Piggyback IOL over LAL in RK eye
Patients with prior radial keratotomy have specific challenges when it comes to cataract surgery such as performing accurate IOL power…
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…