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

1277: more learning from audio clues

In this video a different surgeon is using a different phaco machine and a different technique to perform cataract surgery. … More

1276: audio clues from phaco machine

Your phaco machines makes all sorts of musical sounds when you are operating in order to give you real-time feedback … More

1267: Why is there so much fluidic surge?

This resident case shows the problem of fluidic surge: when the inflow of fluid into the eye is mismatched (for … More

1249: time for the second eye of #1248

Yesterday’s video (1248) showed a very challenging case of compromised zonular support in a patient who may have had prior … More

1237: leave your signature on every case

Taking pride in your work is critical for success. You need to put the effort to do a beautiful job … More

1230: surgeon & patient communication

Cataract surgery is a beautiful and fascinating procedure for us as ophthalmologists. But for patients it can be a nerve-wracking … More

1227: secrets for radial keratotomy patients

While radial keratotomy (RK) is rarely used as a refractive surgery today, a few decades ago it was very popular. … More

1223: how to set up your phaco machine

The surgeon is the captain of the operating room and must know everything about the case and instrumentation. While we … More

1218: J&J Eyhance versus Alcon Vivity

Many surgeons have asked me to make a video comparing the J&J Eyhance to the Alcon Vivity IOL. I have … More

1175: the last case of residency

This is the final cataract case that was performed during residency and likely represents about 200 to 300 cataract surgeries … More

1171: pigment dispersion syndrome

Pigment dispersion syndrome is a condition where iris pigment is dispersed throughout the anterior segment of the eye via the … More

1166: learn the phaco flip technique

In our Complete Cataract Case series, we present the technique of phaco flip. This is a great technique for a … More

1165: routine pseudo-exfoliation case

From our Complete Cataract Case series, this is a video of a patient with pseudo-exfoliation syndrome which can make the … More

1164: routine phaco chop complete case

From our Complete Cataract Case series, this is a video of a routine phaco chop case. It is not cherry … More

1163: phaco behind the corneal scar

When a corneal scar limits the visualization, how can you still complete the cataract surgery in a safe manner? And … More

1159: Pre-Chopper Technique

The pre-chopper is an instrument that can be used to split a cataract prior to inserting the phaco probe. It … More

1158: adjusting the red reflex

The two primary illumination sources on your microscope are coaxial and paraxial. We have previously explained the differences in the … More

1114: success with young cataract patients

When we are operating on a younger cataract patients, the stakes are higher and the surgery must last the patient … More

1105: Using the Power Pre-Chopper

The Ultra-chopper was designed by Dr Luis Escaf in order to penetrate a very dense nucleus to chop a cataract. … More

1103: Pre-Chopper Technique

Pre-chopping means that we are splitting the nucleus into half or quadrants prior to inserting the phaco probe into the … More

1099: some amazing surgical pearls

With CataractCoach, I am sharing everything that I have learned or figured out during the past 25 years in ophthalmology. … More

1098: Quad Camera Angles in surgery

This video was sent to us from Dr Felipe Ribeiro and Dr Andre Berger from Brazil and it features the … More

1089: Try the CataractCoach Challenge

Take the CataractCoach challenge: perform a cataract surgery while keeping the light reflex (Purkinje image) in the central zone of … More

1087: how to perfect your case

In this complete cataract case, we are going to slow it down a bit and show you the subtleties that … More

1065: Cortical Cleaving hydro-dissection

Cortical cleaving hydro-dissection was described 30 years ago by Howard Fine MD, a pioneer in the shift to modern day … More

1035: First year in practice cataract

In keeping with our theme of learning from the cataract surgeries of young surgeons who are at the beginning of … More

1028: Keys to Cataract Surgery Efficiency

If you have performed fewer than 10,000 cataract surgeries, you are still in the part of the learning curve where … More

iris claw lens to address aphakia

Another excellent video from our colleague Dr. Val Apostolov from Amsterdam. In this case there is a patient with a … More

highly myopic cataract surgery

These are some of the most rewarding cataract surgeries to perform since we can correct the cataract as well as … More

considerations for monocular patients

Monocular patients present a special situation that can differ from a routine case in a patient with two eyes. We … More

Anterior Chamber Phakic IOL removal

Phakic IOLs are useful to address extreme degrees of myopia, but there are potential complications. Previously, we have featured cases … More

Cataract with Silicone Oil Removal

Our guest surgeon is Willie Kan, MBBS from Malaysia and he is showing the technique of combined cataract surgery with … More

Descemet’s Membrane Detachment

When we make a corneal incision for cataract surgery, we must be careful to avoid damaging the attachment of Descemet’s … More

Cataract, cornea transplant, glaucoma tube

Our guest surgeon is Guillermo Amescua MD who is a faculty member at the Bascom Palmer Eye Institute in Miami. … More