1549: cataract surgery in angle closure

Cataract surgery in the setting of angle closure glaucoma is very challenging because the anterior chamber is very shallow, the … More

1548: skill level after 2000 surgeries

We have previously discussed the surgical learning curve with a detailed explanation how the beginning part of the curve is … More

Recent ophthalmology graduates are sometimes surprised that they must be proctored for surgical cases even though they have completed years … More

A generation ago, the most common technique for phaco cataract surgery was to use a single incision and a single-hand … More

In this case, there was a dense central endo-nucleus that seemed somewhat resistant to chopping. When I chopped the nucleus, … More

This patient has visually significant cataracts in both eyes and a full-thickness macular hole in one eye. I have already … More

This is our last of the dozen cases presented at the CataractCoach instructional course at the 2022 ASCRS meeting. When … More

There are times where you will want to perform a combination surgery of full-thickness corneal transplant and cataract surgery at … More

Many decades ago when phacoemulsification was first presented to the world by Charles Kelman MD, no viscoelastic was used during … More

I have previously featured a challenging cataract case for a patient with severe tremors due to systemic neurological disease. In … More

This is another case where the capsulorhexis is about 4 mm in diameter and this causes a complication where the … More

Keep in mind the dimensions of the typical cataractous lens: about 9-10 mm in diameter and then about 4-5 mm … More

This video shows something that I have never previously seen before: removal of the lens cortex prior to removing three … More

Pseudo-exfoliation syndrome means that cataract surgery will be more challenging. The pupil will not dilate as much, the zonular support … More

This is a tough case in a patient with just one eye. He had a prior history of 16-cut radial … More

Ophthalmology is a highly specialized field of medicine, so much so that most other physicians have very little knowledge of … More

Routine surgery is probably 90% of what you perform every week in your operating room (or operating theatre), but sometimes … More

There is a pleasure in helping patients with a dense brunescent cataract: we enjoy the surgical challenge and the patient … More

This is a seemingly routine case, shown start to finish, where I find it challenging to rotate the nucleus despite … More

This is a complete cataract case, shown start to finish, of a patient seen in my private clinic. At the … More