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…

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…

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…

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…