We have a good number of “armchair quaterbacks” here on CataractCoach.com and they sometimes message me to explain what would … More
Tag: cataract quiz
2168: Quiz: What is that stringy thing?
Cataract Quiz: Both of these patients have a stringy floater in the vitreous cavity and tends to move around a … More
2161: Quiz: What type of cataract is this?
This patient developed this condition over the past 6 months to 1 year and now presents to your clinic with … More
2145: Quiz: Why is the nucleus subluxated?
Another CataractQuiz today: Look carefully at the title picture and notice the large gap that is seen at the edge … More
2144: Quiz: What is this material?
Time for a CataractQuiz: Look carefully at the title photo and you will see some strange material at the tip … More
2137: Quiz: What is your target refraction?
Time for a CataractQuiz and this case requires more thinking and there is no one perfect answer. This patient is … More
2130: Quiz: Why is the IOL iris captured?
Look carefully at this picture and ask yourself why did this happen? The patient had this IOL placed in the … More
2122: Quiz: Why did the nucleus drop?
Watch this video carefully and we are going to crowd-source the likely reason why this nucleus drops into the vitreous … 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
2083: Quiz: how to manage zonular dialysis?
Look at the picture here and you will see a red reflex indicating a quadrant (or more) of zonular laxity … More
2031: Quiz: why reverse pupil block here?
This patient has a case of reverse pupillary block, also called LIDRS (lens iris diaphragm retropulsion syndrome) where the iris … More
2011: Quiz: What is the zonular status?
Time for a Cataract Quiz: Look carefully at this title photo and ask yourself, “Why is this clear crescent visible … More
1990: Quiz: How do you safely finish this case?
Cataract Quiz! As you are doing cortex removal with the IA probe you suddenly notice that the posterior capsule is … More
1981: Quiz: Why did this IOL decenter?
This patient had cataract surgery about a year ago and now presents to you with an IOL that is very … More
1948: Cataract Quiz: equator, tear, or cortex?
Cataract Quiz: is this the capsular bag equator, a capsular tear, or just cortex?
1935: Cataract Quiz: What is your next move?
Study this title picture carefully and look at the tip of the yellow arrow. What is going on here? And … More
1929: Cataract Quiz: what is starting to happen?
Time for another Cataract Quiz: look at the title picture, at the yellow arrow and ask yourself: What is happening … More
1905: Cataract Quiz: What does this tell you?
Stop reading and look carefully at the title picture here. What does this tell you? Seriously, stop reading and study … More
1873: who so much surge during phaco?
Time for a CataractQuiz: watch the video and you will see a tremendous amount of post-occlusion surge during phaco. When … More
1852: chopped but can’t bring heminucleus up
In this case the nucleus is chopped efficiently, but there is a struggle to bring up the first heminucleus. Why? … More
1729: Quiz: what complication is imminent?
Look carefully at the picture and see if you can figure out what complication is imminent. Can you tell what … More
1723: Quiz: Why did corneal edema develop?
Quiz time with another CataractQuiz™ from CataractCoach™. Look carefully at the photo above and you will note that the patient … More
1697: what is this loose Gore-Tex suture?
Our guest surgeon, Dr Sara Bozorg, has sent us a very interesting case. This patient had some unknown procedure performed … More
1652: Quiz: What is the problem here?
If you have done less than 1000 cataract surgeries, then you may find this quiz very challenging. Look carefully at … More
1603: what is hiding in this picture?
It seems like a routine cataract case, nicely performed with a phaco chop technique, but there is something more. Look … More
1582: Quiz: Why such an odd chopper?
Time for a Cataract Quiz: look at the picture here and tell me, why this surgeon is using such an … More
1547: Quiz: Why is the IOL decentered?
Look carefully at the picture and see if you can determine why the IOL is decentered? The capsulorhexis looks good … More
1540: Why won’t the IOL stay in the bag?
Cataract Quiz: Look at the picture above and see if you can figure out why the IOL keeps coming out … More
1470: ASCRS case 1: what happens next?
At the 2022 ASCRS meeting in Washington, DC, we hosted a CataractCoach instructional course and it was a huge success. … More
1451: Quiz: Where is the lens fragment?
A retained lens fragment is common in cataract surgery because we are breaking up the cataract into many smaller pieces … More
1385: Quiz: you notice this after draping
Quiz time! You have this patient scheduled for routine cataract surgery. Nothing out of the ordinary was noted at the … More
1374: how do you remove this spot?
This is a complete cataract case where I find a small central opacity on the posterior capsule. It is on … More
1373: Quiz: what are these opacities?
This is a complete cataract case with a quiz: watch the video (it is brief) and tell me what you … More
1306: Cataract Quiz: IOL not centered
This seemed like a routine cataract case with a good capsulorhexis and strong zonular support. So why did the IOL … More
1228: Quiz: what are these white opacities?
This is a quiz, so look closely at the above picture. This patient sustained a corneal laceration during a gardening … More
1210: How did this fragment get here?
Time for a cataract quiz. You are doing a seemingly routine cataract surgery and you experience no complications and in … More
1078: Cataract Quiz – you see this post-op
You did surgery for this patient yesterday and she is so happy with 20/30 vision today. She started with a … More
1060: Quiz: Why is this so adherent?
Another Cataract Quiz: the case seemed totally normal and without any issues. The IOL is in the capsular bag and … More
1059: Quiz: the case is not done yet
The answer to this Cataract Quiz is seen in the photo above. Look carefully – what do you notice? The … More
1058: Quiz: Why did the IOL decenter?
Time for a Cataract Quiz and it features a case sent to us by Dr. Valentin Bachet from Lille, France. … More
1047: Complete Cataract Case & Quiz
You start to perform the capsulorhexis and then you notice these wrinkles of the anterior lens capsule. How should you … More
Playlist: Hiding in plain sight
There are so many subtle clues in cataract surgery that can easily be missed, particularly when less experienced surgeons are … More
Cataract Quiz: First eye predicts the next
This patient had cataract surgery in the first eye a few years ago and when we look at the undilated … More
Cataract Quiz: Zonular Dehiscence
Our guest surgeon is Dr Willie Kan from Malaysia and he presents a very tough case: a traumatic white cataract … More
Cataract Quiz: Why did this happen?
Looking at this picture, the pupil dilation went from 5 mm in diameter to 10 mm in diameter in just … More
Cataract Quiz: Why did the trypan do this?
Cataract Quiz: Why did the trypan blue dye do this? Why is the staining so odd looking? Why is the … More
Cataract Quiz: Where is the hidden piece?
Time for another cataract quiz — look carefully at the photo above. Where is the nuclear fragment hiding? And how … More
Cataract Quiz: When did the break happen?
This patient has a relatively dense cataract and requires a toric IOL for 2 diopters of regular corneal astigmatism. When … More
Cataract Quiz: how to rescue this case
This patient has an intumescent white cataract and we know that poses a risk of capsular run-out due to the … More
Cataract Quiz: What should you do?
What are these dark spots seen in the red reflex as you are about to start cataract surgery? What do … More