Managing a dense brunescent cataract requires a strategic shift in orientation when traditional chopping fails to penetrate the leathery posterior … More
Tag: brunescent
2924: surprise posterior capsule plaque
In this challenging case involving a dense brunescent nucleus, we are met with an unexpected hurdle after the lens material … More
2895: sculpting grooves in a dense nucleus
The Escaf Punta Hibrida phaco tip is specifically designed to handle the challenges of ultra-dense, rock-hard nuclei. Its unique hybrid … More
2892: The dense “Coca-Cola” Cataract
The Challenge of the Dense, Brunescent “Coca-Cola” Cataract When a cataract is described as a “Coca-Cola” type, it often refers … More
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 … More
2509: Morgagnian cataract technique
A Morgagnian cataract is a type of hypermature cataract where the lens cortex has fully liquefied, causing the dense nucleus … More
2293: Case 350 with a dense cataract
A dense cataract is more challenging because of the difficulty in breaking it into smaller pieces (nucleo-fractis) and the increased … More
2202: brunescent cataract phaco
Our guest surgeon does a great job of phaco with this truly dense, brunescent cataract. This video includes the pre-op … More
2058: cracking the leathery posterior plate
With a dense, brunescent cataract the posterior aspect of the nucleus becomes tough and leathery. Traditional chopping methods usually are … More
1858: MSICS dense brunescent cataract
With a dense brunescent cataract, the beauty of MSICS is that no ultrasonic energy is needed to break apart the … More
1801: continual injection of viscoelastic
We use viscoelastic (also called OVD = ophthalmic visco-surgical device) during cataract surgery to protect the delicate intra-ocular structures, in … More
1768: brunescent dense rock cataract
This is a tough case and when you see the microscope lights turned up but still no red reflex, you … More
1571: dense brunescent whitish cataract
I recently did LASIK surgery for a young patient, in his early 20s, who surprised me when he said that … More
1516: ultra dense black cataract
Our guest surgeon is an amazing surgeon, Dr Neto Rosatelli from Brazil. He presents a very, very dense cataract in … More
1476: ASCRS case 7: dense cataract tricks
Another great case from the 2022 ASCRS CataractCoach instructional course, this time focusing on dense cataracts. There are some good … More
1453: Quiz: What is your next step?
This is a tough case where the nucleus is very dense and difficult to chop, but the bigger challenge is … More
1445: rubbery brunescent cataract
There is a pleasure in helping patients with a dense brunescent cataract: we enjoy the surgical challenge and the patient … More
1441: converting from phaco to MSICS
Our guest surgeon is Jack Shao MD who is a faculty member at the Cole Eye Institute at the Cleveland … More
1239: dense brunescent cataract
This patient has a very dense, brunscent, fibrous cataract in the left eye. Fortunately, the right eye has a moderate … More
1123: dense brunescent cataract chop
This video showcases the entire surgery which we are running at 2x speed so that it is just 5 minutes. … More