1769: cataract in a post-trabeculectomy eye

When performing cataract surgery in an eye with a prior trabeculectomy there are some important differences. There is going to … More

1610: poly-pseudophakia 2 IOLs in 1 eye

Nanophthalmic eyes are among the most challenging when it comes to cataract surgery. There are additional risks and the working … More

1601: cataract skills after 1600 cases

Yesterday was video number 1600 which means that we have featured a new video/post every day for the past 1600 … More

1593: this EDOF patient will be amazed

What are the factors for success with EDOF (extended depth of focus) IOLs? How can we ensure that the patient … More

1591: asteroid hyalosis of the vitreous

We have all seen it before: thousands of small, white, refractile bodies floating in the vitreous cavity with seemingly little … More

1569: phaco under a phakic IOL

We have featured videos in the past of performing cataract surgery in patients who already have a phakic IOL in … More

1566: Ocular Suface & Cataract Surgery

I will be the first to admit that I do not enjoy dealing with ocular surface issues such as dry … More

1565: hesitant to perform flip and chop?

Multiple CataractCoach.com subscribers have emailed me to ask for pearls for success with phaco flip and chop. They have some … More

1563: phaco incision between RK cuts

Radial keratotomy (RK) makes cataract surgery far more challenging. The IOL power calculations are dramatically affected and during surgery we … More

1561: sudden chamber deepening

This patient has a dense cataract and I increased the phaco power in order to help break apart the nucleus. … More

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

1526: your first proctored surgical cases

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

1505: single-handed phaco technique

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

1487: dense central endo-nucleus

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

1484: phaco before vitrectomy surgery

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

1481: ASCRS case 12: phaco in trab eyes

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

1469: open sky cataract surgery

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

1460: phaco without visco-elastic / OVD

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

1458: phaco for a patient with tremors

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

1455: cortex removal before nucleus removal

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

1450: pseudo-exfoliation in a 90 year old

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

1449: monocular patient with 16 cut RK

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

1447: setting reasonable patient expectations

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

1446: taking pride in your routine surgery

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

1443: the nucleus just will not rotate

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

1442: this nucleus is denser than it looks

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

1431: this is why I just need one chop

For routine cataract cases, I can perform just one phaco chop to split the nucleus into two halves and then … More

1430: mom of an ophthalmologist

Since our surgery center is in Beverly Hills, I have many celebrities as patients. Multiple actors / actresses who have … More

1428: can you achieve this by case 1000?

If you are subscribing to our daily email from CataractCoach, then you are already passionate about being an expert cataract … More

1411: how much capsule polishing to do?

Capsule polishing to remove tiny residual bits of lens material is frequently done in cataract surgery. We have asked our … More

1410: phaco without hydro-dissection

We routinely perform hydro-dissection during cataract surgery in order to help free the nucleus from the capsular bag. One of … More

1406: doing both cataract & retina surgery

Our anonymous surgeon sent in this video asking for a critique of this cataract surgery. It is a good routine … More

1399: four simultaneous camera angles

Our guest surgeon is Dr Andre Berger from Brazil and he is an accomplished, expert cataract surgeon. In this video … More

1336: behind the scenes: inside my OR 2

In this video I am showing the microscope view of the cataract surgery that was performed in video 1335. If … More

1335: behind the scenes: inside my OR

Surgeons from around the world frequently email me asking to come visit my operating room to watch surgery. In the … More

1333: pre-chopper for nucleus division

The pre-chopper is an instrument with two blades which are shaped like paddles and they are embedded into the nucleus … More

1312: focus on what is important

After a long day of surgery, I was telling a friend that I felt exhausted. And he remarked that since … More

1311: routine case with moderate density

Don’t be fooled into thinking that there is not much to be learned from watching a routine cataract case. As … More

1309: 90% of your cases are routine

I enjoy performing routine cataract surgery as much as challenging or unusual cases. There is a beauty and elegance in … More

1299: cataract surgery in nanophthalmos

This patient has a very small eye with an axial length of just 15 mm. That makes the entire surgery … More

1298: cortical cleaving hydro-dissection

This video shows the technique of cortical cleaving hydro-dissection which we have previously covered. This involves using the fluid wave … More

1283: The “I&A only” Soft Cataract

This young patient developed a cataract after trauma. Fortunately, the zonular support is great and the long term stability of … More

1282: flip and chop for softer lens

If there is less nuclear density, then flip and chop is also a great technique. It brings the nucleus up … More

1281: flip and chop when it’s dense

This complete cataract case shows the entire surgery from first incision until the end. This allows for great learning for … More

1279: Top 5 Coach Sayings plus bonus

This is a fun video. We start off with my top 5 CataractCoach sayings that you’ve heard me say so … More