Bimanual irrigation/aspiration for cortex removal has an advantage: it is easy to switch hands and then access a full 360 … More
Tag: cataract surgery
remove one nuclear half first
There are many ways to divide and emulsify the lens nucleus in cataract surgery. Some advanced surgeons will chop the … More
compilation video: dense cataracts
This compilation video features the best of many prior videos regarding dense cataract techniques. The video has many clips which … More
Challenge: Monocular Dense Cataract
Operating on a monocular patient is always stressful since we know that the stakes are higher due to the patient … More
Equanimity under Duress
When Sir William Osler left the University of Pennsylvania’s Medical School (the first one in the USA, started in 1765) … More
Surgeon returns after a 3 month hiatus
Performing surgery at a high level is a skill that must be continually honed and practiced. What happens when we … More
Complete Case: Retained Viscoelastic
Retained viscoelastic after cataract surgery is the most common reason why there is an elevation of the intra-ocular pressure (IOP) … More
great learning resident cataract case
If you are in an ophthalmology residency program in the northern hemisphere, particularly in the USA, then you know that … More
Resident Cataract Case with Iris Hooks
For a small pupil case, using iris hooks is helpful to give better access during cataract surgery. This case is … More
Safety with Cannula Use – be careful!
Beginning surgeons do not always realize that the force created by using small 27g cannulas can be quite high. If … More
complete cataract case: phaco flip
The key to the phaco flip technique is using the fluid wave from hydro-dissection to gently prolapse part of the … More
Peeling Capsular Membranes
We present another great learning video from Dr. Val Apostolov from Amsterdam, The Netherlands to show the techniques of peeling … More
Setting your Phaco Speed Limit
The speed at which surgery happens during phaco is directly related to the aspiration flow rate, which is measured in … More
Fibrotic Dense White Cataract
This patient developed a white cataract years ago and was unable to seek treatment for a prolonged period of time. … More
Cataract Quiz: Why did the capsule rip?
This resident surgeon recently experienced quite a surprise: when he injected viscoelastic at the beginning of the surgery, the anterior … More
Toric IOL for Posterior Polar Cataracts?
We know that with posterior polar cataracts, there is a congenital weakness in the posterior capsule at the site of … More
Uveitic Dense White Cataract
This dense white cataract is further complicated by being an a uveitic eye with a fibrotic membrane causing a small … More
Cataract Quiz: Why is the cornea cloudy?
This is a routine cataract surgery case. It is very efficient and a minimal amount of ultrasound energy is used … More
Complete Case: Pressurized Cataract
This is an interesting case of a young patient, in his mid 40s, who sustained ocular trauma and developed a … More
Critiquing my old cataract surgery video
I was digging through some old computer files and I came across an old video that I made in 2006. … More
Resident recovers from capsule break
In the course of learning cataract surgery, resident ophthalmologists will encounter complications such as this posterior capsule rupture. The key … More
Expert Surgeon versus The Rock
There is so much to be learned by watching other surgeons operate. Even after so many thousands of cataract surgeries … More
Which resident will win this contest?
Residents often prefer to learn divide-and-conquer as the first nucleo-fractis technique for phaco surgery. This requires making a central groove … More
You must learn to do MSICS
In many countries where dense, brunescent cataracts are common, the SICS (small incision cataract surgery) or MSICS (manual small incision … More
Soft cataracts can be quite difficult
Most surgeons associate dense cataracts with increasing difficulty during cataract surgery because they require more ultrasonic energy to break up … More
the hemi-nucleus tuck technique
One of the challenges in phaco surgery is that we need to break up the nucleus in order to remove … More
Removing OVD from behind the IOL
Surgeons in training often ask, “Do I need to remove the viscoelastic from behind the IOL at the end of … More
Learn as I coach this resident
Many ophthalmologists from around the world have asked if we offer a fellowship, externship, or clinical rotation so that they … More
Mastering Divide-and-Conquer
Most young ophthalmologists start learning phacoemulsification cataract surgery with the divide-and-conquer technique. This is an easier technique to learn than … More
resident divide-and-conquer case 30
An anonymous resident sent in this video of his/her 30th cataract surgery which was done with the divide-and-conquer technique. The … More
Residual posterior polar opacities
We love to show posterior polar cataract videos and we have an entire category for them here on CataractCoach. Using … More
Small pupil, PXF, and IFIS
For a beginning surgeon it is helpful to see surgeons performing techniques that are out of your comfort zone. The … More
Expert level dense white cataract surgery
It is a pleasure to watch a true expert perform his craft and this is especially true for cataract surgery, … More
Fixing severe capsular phimosis
In a small number of patients, capsular phimosis can happen after cataract surgery. This can lead to severe distortion of … More
Does cataract surgery pose a viral risk?
Our colleagues from the University of Toronto recently did an experiment to determine if cataract surgery poses a risk of … More