2780: VIP patient with PXF and IFIS

In this case I need to perform cataract surgery in a VIP patient with a 4 mm pupil, blue iris, … More

2772: nanophthalmic eye with astigmatism

This is a complete cataract case, shown start to finish, where I perform the entire surgery and present it to … More

2766: Hey Uday, why the baby rhexis?!?!

One of the most common sayings here on CataractCoach.com is, “Don’t make a baby rhexis!” because a small capsulorhexis will … More

2724: safely manage a shallow capsular bag

Managing a shallow capsular bag during cataract surgery requires delicate technique and strategic planning to avoid complications such as zonular … More

2710: Flip & Chop with a white cataract

Every time I post a flip and chop video, I get many emails asking if this technique is also applicable … More

2696: Why I offer all lens implant options

It is essential to offer patients the full range of intraocular lens implant options to provide truly individualized and optimal … More

2689: flip & chop with more nuclear density

Last week we featured a video of me performing flip and chop on a cataract of modest nuclear density, so … More

2682: Why do you like flip & chop so much?

This is one of our Complete Cataract Case series where we show the entire case from start to finish and … More

2668: high hyperope with high astigmatism

Cataract surgery in highly hyperopic eyes with short axial lengths and significant corneal astigmatism is technically demanding. The shallower anterior … More

2654: dense white cataract with a surprise

Approaching cataract surgery in a dense white cataract with a fibrotic anterior capsule presents significant challenges that require careful planning … More

2647: posterior polar with split capsule

We know that posterior polar cataracts are very challenging because the capsule is weak, fragile, or even partially absent at … More

2626: white cataract with pseudo-exfoliation

Today is another video from our Complete Cataract Case series where we show an entire surgery, from start to finish, … More

2619: IOL exchange with an open capsule

We recently featured a video where I explained some patient situations where a multifocal IOL could be problematic. One of … More

2612: Cataract Surgery on Cataract Surgeons

So far I have done cataract surgery for 84 fellow ophthalmologists (this title slide says 83 since I made it … More

2563: Cataract in Axenfeld-Rieger Syndrome

A century ago, Dr Axenfeld described a series of patients with congenital abnormalities of the anterior segment of the eye … More

2549: head movement with cervical dystonia

While the degree of cataract in this video is not so challenging, the actual surgery is very difficult due to … More

2514: Is a CTR needed for Pseudo-Ex?

In certain populations, pseudo-exfoliation syndrome is relatively common, occurring in about 6 to 8% of my patients every year. In … More

2479: When the speculum won’t open more

This patient has narrow palpebral fissures and when the speculum is placed for cataract surgery, we cannot even expose limbus … More

2465: approach to short axial lengths

I enjoy operating on very myopic eyes because there is so much room within the anterior segment of the eye. … More

2458: teach me the tilt and chop technique

There are many techniques for breaking up the nucleus and aspirating it with the phaco probe and ultrasonic energy. And … More

2451: pseudo-exfoliation cataract 2nd eye

This patient has pseudo-exfoliation (PXF) syndrome and the first eye had cataract surgery many years ago. There is capsular phimosis … More

2438: small pupil, shallow AC, stop & chop

I get emails from viewers asking how to see cases where I am the surgeon operating. This is about as … More

2423: should you remove the pterygium?

For this patient, should you remove the pterygium months before doing cataract surgery, at the same time as cataract surgery, … More

2389: the secrets to IOL calcs in prior RK

In my practice, every day that I am operating I usually have a few patients with prior radial keratotomy (RK) … More

2366: weak cornea with prior RK & Fuchs’

This patient had prior radial keratotomy (RK) done in the early 1990s to address a modest degree of myopia. This … More

2359: chopping in the bag for a soft nucleus

For a soft nucleus, I tend to flip it out of the capsular bag using hydro-dissection as shown in this … More

2333: the monocular patient mindset

Monocular patients are justifiably nervous with discussions about operating on their only good eye. These patients are worried that in … More

2325: cataract surgery in corneal ectasia

This patient has a complex ocular history which includes a high degree of axial myopia which was treated with LASIK … More

2318: soft PSC cataracts made easy

PSC cataracts are posterior sub-capsular and they are commonly seen in conditions such as corticosteroid use (ocular, nasal, inhaled, or … More

2305: Quiz: Is it intumescent or not?

By looking at the title picture, how can you tell if this white cataract is intumescent or not? Think about … More

2297: hyperopia on the brain!

People like what they like, what they are used to, what just feels right. That applies for many things in … More

2220: early cataracts in myopic patients

I’m sure you have noticed that myopic patients tend to develop cataracts earlier in life compared to their emmetropic and … More

2185: cataract surgery for a famous actress

I would bet that no other ophthalmologist has performed cataract surgery for more Academy Award® nominees and winners than me … More

2137: Quiz: What is your target refraction?

Time for a CataractQuiz and this case requires more thinking and there is no one perfect answer. This patient is … More

2114: cataract & severe Fuchs’ dystrophy

Fuchs’ endothelial dystrophy is a disorder in which the corneal endothelium becomes progressively weak, leading to corneal decompensation and decreased … More

2086: too mushy, so do tilt and tumble

This is a complete cataract case featuring a nucleus that is too mushy to chop, so I revert to the … More

2059: opaque posterior polar with shallow AC

Studies have shown that 1 out of 3 posterior polar cataract surgeries result in a ruptured posterior capsule. Here’s the … More

2044: re-op of tough pseudo-exfoliation

Pseudoexfoliation affects only a small percent of patients undergoing cataract surgery, but it is important to recognize because it poses … More

2030: centered capsulorhexis uneven dilation

Even if the pupil dilation is asymmetric, the capsulorhexis should be centered. This can be tricky if your normal routine … More

1953: soft posterior polar young patient

Studies have shown that 1 out of 3 posterior polar cataract surgeries result in a ruptured posterior capsule. Here’s the … More

1851: Is this posterior subscapsular or polar?

Looks carefully at the picture here and tell me, is that a posterior subscapsular cataract (PSC) or a posterior polar … More

1831: cataract and 8 cut radial keratotomy RK

This is one of the four radial keratotomy patients on whom I operated in the same morning. My practice attracts … More

1820: monocular with pseudo-exfoliation

Ophthalmologists are very familiar with pseudo-exfoliation syndrome since it makes the cataract surgery more challenging due to poor dilation or … More