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…
2549: head movement with cervical dystonia
While the degree of cataract in this video is not so challenging, the actual surgery is very difficult due to…
2548: pars plana vitreous tap for shallow AC
This is a very difficult and challenging case where our guest surgeon does an amazing job and offers so many…
2547: Podcast 109: Steve Sarkisian MD
This is a really fun and engaging podcast with a truly remarkable surgeon, Dr Steve Sarkisian from Oklahoma City, OK,…
2546: resident case 124 is pretty good
Another Saturday resident case so that we can teach the world’s young ophthalmic surgeons how to become better at cataract…
2545: dense cataract MSICS with a surprise
Our guest surgeon does a great job with this very difficult cataract surgery. This very elderly patient has a very…
2544: Quiz: Why the sudden cataract?
Time for another CataractQuiz™: Why did this patient suddenly develop a white cataract? This is a 65 year old construction…
2543: air bubble to stop MIGS bleeding
So you are performing MIGS glaucoma surgery and there is considerable bleeding from the angle of the eye. How do…
2542: preparing your own DMEK graft
I am so fortunate that in Los Angeles, I can order a DMEK graft exactly the way that I want…
2541: the best way for wound assist IOLs
Over and over again, we have seen videos of surgeons using the wound assist technique to deliver the IOL as…
2540: Podcast 108: Stephen Klyce PhD
Professor Stephen Klyce PhD has truly innovated so much when it comes to the cornea, kerato-refractive surgery, corneal pathology like…
2539: Italian resident’s 8th cataract case
Our anonymous resident surgeon is just starting out and this is the 8th cataract case completed solo, under supervision from…
2538: is a laser needed for capsulorhexis?
Our guest surgeon is using the Capsulaser device to create an opening in the anterior capsule for cataract surgery. We…
2537: inadvertent iridodialysis, hyphema
We love complication videos because they offer some of the best learning. If you want your video featured on CataractCoach™…
2536: slit lamp glaucoma bleb fixes
CataractCoach™ is more than just cataracts! We cover cataract, glaucoma, cornea, and refractive surgery techniques. Today’s video is from our…
2535: Quiz: What are all these ‘floaters’?
The CataractQuiz™ series is very popular among CataractCoach™ fans and today we have a good one. The patient in the…
2534: fixing severe zonular loss
Our guest surgeon does a fantastic job with this very difficult cataract case. You can see in the title picture…
2533: Podcast 107: Helen Wu MD
I first met Dr Helen Wu more than 20 years ago when she taught me great surgical pearls for techniques…
2532: case 100 for a beginning surgeon
For many years now, we have been teaching the next generation of surgeons. And that is critically important because perhaps…
2531: using the capsular tissue as a shield
CataractCoach™ is the world’s largest library of anterior segment surgical techniques where we cover cataract, glaucoma, cornea, and refractive surgery.…
2530: the capsulorhexis runs out
Our guest surgeon does a great job with this tough case where we encounter a common issue: a radialized capsulorhexis.…
2529: Quiz: What does this sign predict?
CataractCoach™ fans just love the CataractQuiz™ series and today we have one that you MUST know. Look at the picture…
2528: traumatic zonulopathy & mydriasis
Traumatic eye injuries can be very challenging because often we do not know the full extent of the damage until…
2527: three very tough monocular cases
Being a cataract surgeon is stressful and every patient demands a perfect outcome. The most challenging cases are often those…
2526: Podcast 106: Malik Kahook MD
Our guest is Dr Malik Kahook who is a professor, surgeon, scientist, and inventor (with 80+ patents in ophthalmology!) at…
2525: resident case 50 in a nonagenarian
When we operate on patients who are in their nineties (nonagenarians), things can be different because the tissues are weaker…
2524: securing glaucoma seton with flanges
Using a glaucoma seton can be very effective to control the intra-ocular pressure in many types of glaucoma, including challenging…
2523: lensectomy in a 14 month old baby
This patient is just 14 months old and presents with a total white cataract in one eye. Hopefully this was…
2522: How should you remove this plaque?
This patient had a prior pars plana vitrectomy for posterior segment disease and now presents to you with a cataract…
2521: trying to deliver the IOL but…
Yesterday’s video featured a case where the incision was too small and the IOL became stuck. Today’s video is me…
2520: Another IOL gets stuck in incision
We recently featured a case (https://cataractcoach.com/2025/03/05/2494-the-iol-is-stuck-in-the-incision/) where the IOL became stuck in an incision that was too small. In that…
2519: Podcast 105: Parag Majmudar MD
We have been hearing about in-office (or in-clinic) surgery suites where we can perform intra-ocular surgery such as cataract surgery…
2518: resident stop-and-chop case
There are about 500 senior residents in the USA who are graduating in a few months (by June 30, 2025)…
2517: the basics of using iris hooks
When you have a patient with a small pupil, keep in mind that the iris tissue is very delicate and…
2516: tough cataract with corneal scar
This patient had a prior pterygium surgery which did not go so well. It resulted in a corneal perforation and…
2515: combined iStent and iDose TR
In this video we again feature one of the great glaucoma specialists, Professor Ramesh Ayyala from USF in Tampa, USA.…
2514: Is a CTR needed for Pseudo-Ex?
In certain populations, pseudo-exfoliation syndrome is relatively common, occurring in about 6 to 8% of my patients every year. In…
2513: When you encounter vitreous…
When you encounter vitreous during cataract surgery there are some very important guidelines that you should keep in mind to…
2512: Podcast 104: Kuldev Singh MD MPH
Sometimes we are so involved in our own practices that we forget about the very important public health aspects of…
2511: great job resident horizontal chop
Every year it seems like the resident surgeons are getting better and better. The access to so many great learning…
2510: intumescent cataract chop
Our guest surgeon does a great job with this tough case of an intumescent white cataract. Fortunately, there is just…
2509: Morgagnian cataract technique
A Morgagnian cataract is a type of hypermature cataract where the lens cortex has fully liquefied, causing the dense nucleus…
2508: cerclage technique pupilloplasty
Performing a pupilloplasty can be challenging since we are working with very delicate iris tissue, in the confines of the…
2507: two pearls for a great capsulorhexis
I used to think that the fewer grabs of the capsulorhexis, the better and I took pride in performing a…
2506: cataract surgery in corneal transplant
When we perform cataract surgery in an eye with a previous corneal transplant, we must do things a little differently…
2505: Podcast 103: Greg Parkhurst MD
Nothing beats hard work and determination. And that certainly sums up the stellar career trajectory of Dr Greg Parkhurst. He…
2504: resident surgeon tries vertical chop
I am proud of any resident surgeon who is driven to learn new techniques during training and then to upload…