Three “Secret” Cataract Surgery Maneuvers These Subtle Techniques Enhance Control, Visibility, and Safety Cataract surgery has undergone remarkable refinement over … More
Tag: cataract surgery
2718: Eye surgery simulator improves skills
Have you ever wanted to learn and practice surgical techniques prior to performing surgery on patients? The best solution is … More
2702: sudden patient movement in surgery
Sudden patient head movement during cataract surgery poses a significant risk to intraocular structures and can lead to serious complications … More
2270: angle closure with corneal edema
This patient has experienced angle closure glaucoma which has caused corneal edema and an increased intra-ocular pressure (IOP). In the … More
2121: CEIOL with MIGS and ECP
This patient had an episode of angle closure and has mixed mechanism glaucoma. Our guest surgeon, Dr Johnny Gayton from … More
2107: help me go from good to great
Our guest surgeon is experienced and has likely done thousands of cataract surgeries. The request is for our large audience … More
2054: carousel technique of nucleus removal
Our guest surgeon presents a case that shows excellent knowledge of intra-ocular fluidics. By aspirating the cataract edge a rotation … More
2026: using phaco vacuum to lift nucleus
I have often advocated the use of the flip and chop technique whereby part of the lens equator is brought … More
2025: seated upright phaco surgery
This patient has severe orthopedic spine issues along with other systemic medical conditions which prevent him from being in the … More
1809: father vs son challenge – the son
Yesterday we featured a video (1808) from a highly experienced cataract surgeon (the father) who did a horizontal chop technique … More
1808: father vs son challenge – the father
Ophthalmology, particularly cataract surgery, is such an amazing field that it is relatively common to see generations of eye surgeons … More
1797: experienced surgeon asks for help
This surgeon needs the collective help of our 50,000 subscribers. S/he has sent in this video with a request that … More
1789: nice chopping from a VR surgeon
I have always admired vitreo-retinal (VR) surgeons because of their ability to repair complex posterior segment problems. Many of them … More
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