2986: how to save a run-out capsulorhexis It’s July and the beginning of the academic year for residents who are … More
Tag: capsulorhexis
2968: Challenging Capsulorhexis white double rhexis
2968: Challenging Capsulorhexis white double rhexis A double rhexis technique is a vital safety maneuver when managing a tense white … More
2943: Quiz: Which way to pull the rhexis?
To perform the Little rescue technique for a run-out capsulorhexis, the surgeon must first flatten the anterior chamber by removing … More
2905: dissecting a lens fibrotic membrane
When dealing with a white cataract, a central fibrotic plaque can make a standard capsulorhexis nearly impossible. After staining the … More
2899: keep the capsulorhexis & IOL centered
In patients taking selective alpha-1a adrenergic antagonists for benign prostatic hyperplasia (BPH), the iris becomes increasingly unstable, a condition known … More
2766: Hey Uday, why the baby rhexis?!?!
One of the most common sayings here on CataractCoach.com is, “Don’t make a baby rhexis!” because a small capsulorhexis will … More
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. … More
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 … More
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 … More
2636: mini-rhexis with phaco handpiece
This video showcases an advanced technique (not for beginners) to perform a capsulorhexis in eyes with white cataracts. The technique … More
2633: Little Capsulorhexis Rescue Technique
This technique is absolutely critical and it is something that every cataract surgeon must master. It allows us to rescue … More
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 … 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 … More
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 … More
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 … More
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. … More
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 … More
2495: the capsulorhexis is running out!
You have once chance to save this: which way do you pull it now? Look at the arrows on the … More
2416: secrets to a great capsulorhexis
This video is also part of our new Secrets series where we teach the secrets to success in so many different situations. … More
2412: striving for perfection – the mindset
Our guest surgeon has a great mindset and attitude for cataract surgery: striving for perfection. When you create that capsulorhexis, … More
2384: aspiration probe for the capsulorhexis
In this video, our guest surgeon uses the 23g aspiration probe to hold the anterior lens capsule and then create … More
2382: Quiz: Why didn’t the rhexis work?
Time for another CataractQuiz: Watch this case carefully and let me know why the capsulorhexis did not work in this … More
2371: resident spiral out capsulorhexis
Performing a spiral out capsulorhexis is a good way to approach a white cataract where the risk of capsular run-out … More
2311: white cataract capsulorhexis options
One of our favorite topics on CataractCoach is the white cataract and we know that the challenge in these cases … More
2277: Quiz: Why is the rhexis edge moving?
Time for another CataractQuiz (if you like these CataractQuiz videos, we have an entire sub-category of them available here). This … More
2217: now you notice capsular wrinkles…
Sometimes with white cataracts, it can be difficult to notice subtle signs during the pre-operative exam and consultation. In this … More
2133: surprise true capsular exfoliation
This is a very rare case that I have never encountered in my career: a true capsular exfoliation where there … More
2117: capsulorhexis with the bimanual IA
Our guest surgeon uses the bimanual irrigation/aspiration instruments to perform the capsulorhexis in an intumescent white cataract. The anterior capsule … More
2097: I like this baby capsulorhexis, why?
Now you must be thinking, “Wait a minute, Cataract Coach, you always tell us not to make a baby rhexis, … More
2088: Quiz: Why is this capsule thick and elastic?
This is a different type of CataractQuiz because I am asking you for your help in solving this mystery. Our … More
2030: centered capsulorhexis uneven dilation
Even if the pupil dilation is asymmetric, the capsulorhexis should be centered. This can be tricky if your normal routine … More
2009: ZeptoLink integrates automated capsulotomy
This is a tough case with a fibrotic anterior lens capsule in a patient who already had capsular complications (and … More
1991: zonular weakness during capsulorhexis
Look at the photo here and you just know that the zonular support is globally weak. There are radial wrinkles … More
1887: the challenge of the baby rhexis
You have heard me say it before, “don’t make a baby rhexis!” because for a novice surgeon, a small capsulorhexis … More
1830: trust yourself but question computers
I recently performed a cataract surgery case using a heads-up electronic display where the computer would overlay a precise circle … More
1785: centrally attached zonular fibers
This is an usual case where there are zonular fibers which are centrally attached onto the anterior lens capsule, so … More
1782: resident week: cystotome rhexis
The simple bent needle, also called a cystotome (or cystitome for the alternate spelling) can be used to create the … More
1765: keep the capsulorhexis centered
In this complete cataract case the pupil has dilated in an asymmetric manner. There is no history of trauma and … More
1687: ensuring capsular overlap of optic
In cataract surgery we are taking out a 4 to 5 mm thick human crystalline lens and replacing it with … More
1654: this capsulorhexis will radialize
Looking at this picture, the capsulorhexis appears to be proceeding well. It is round and intact and the resident is … More
1636: capsulorhexis challenges
This video features some challenges that I faced during capsulorhexis creation in seemingly routine cataract cases. Yes, even experts with … More
1609: Curriculum Lesson 7: Capsulorhexis
The capsulorhexis. One of my favorite parts of cataract surgery and one of the hardest steps to learn. When you … More
1579: phaco through small capsulorhexis
The double capsulorhexis technique is very useful for intumescent white cataracts because it allows us to safely decompress the capsular … More
1562: capsulorhexis considerations
As a beginning surgeon, the capsulorhexis is one of the hardest steps of cataract surgery to learn. The anterior capsule … More
1465: MSICS: bailout for rhexis runout
MSICS can be a great way to rescue a very difficult case. We recently presented a video of a master … More
1457: small capsulorhexis leads to trouble
This is another case where the capsulorhexis is about 4 mm in diameter and this causes a complication where the … More
1456: operating through a small rhexis
Keep in mind the dimensions of the typical cataractous lens: about 9-10 mm in diameter and then about 4-5 mm … More
1444: the patient moved during the rhexis
As I am performing the capsulorhexis, the patient unexpectedly moved and there is a run-out of the capsule tear. The … More
1420: cystotome capsulorhexis
Beginning residents are amazed when they see that a complete capsulorhexis can be completed with just a cystotome. Using just … More
1418: advantages of Zepto capsulotomy
There are many ways of performing the steps of cataract surgery. We can do the capsulorhexis / capsulotomy with a … More