Managing a dense brunescent cataract requires a strategic shift in orientation when traditional chopping fails to penetrate the leathery posterior … More
Tag: dense cataract
2895: sculpting grooves in a dense nucleus
The Escaf Punta Hibrida phaco tip is specifically designed to handle the challenges of ultra-dense, rock-hard nuclei. Its unique hybrid … More
2892: The dense “Coca-Cola” Cataract
The Challenge of the Dense, Brunescent “Coca-Cola” Cataract When a cataract is described as a “Coca-Cola” type, it often refers … More
2832: capsular bag full of rocks!
This case features a dense white cataract where intra-lenticular stone formation happens resulting in small, dense rocks in side the … More
2759: brunescent cataract cross chop
The cross-chop pre-chop technique is particularly advantageous when managing a dense brunescent cataract, where conventional divide-and-conquer or single-plane chopping may … More
2653: soft cataracts versus hard cataracts
Yesterday, our CataractCoach Podcast featured Dr Pradip Mohanta who has a YouTube channel where he teaches ophthalmic surgery. During our … More
2545: dense cataract MSICS with a surprise
Our guest surgeon does a great job with this very difficult cataract surgery. This very elderly patient has a very … More
2509: Morgagnian cataract technique
A Morgagnian cataract is a type of hypermature cataract where the lens cortex has fully liquefied, causing the dense nucleus … More
2293: Case 350 with a dense cataract
A dense cataract is more challenging because of the difficulty in breaking it into smaller pieces (nucleo-fractis) and the increased … More
2202: brunescent cataract phaco
Our guest surgeon does a great job of phaco with this truly dense, brunescent cataract. This video includes the pre-op … More
2179: making a trench to aid phaco chop
When performing classic phaco chop, we use the vacuum holding power of the phaco probe to fixate the nucleus while … More
2058: cracking the leathery posterior plate
With a dense, brunescent cataract the posterior aspect of the nucleus becomes tough and leathery. Traditional chopping methods usually are … More
1858: MSICS dense brunescent cataract
With a dense brunescent cataract, the beauty of MSICS is that no ultrasonic energy is needed to break apart the … More
1845: ASCRS 2023 Course Case 5
On Sunday, May 7, 2023 we had our Best of CataractCoach.com course at the ASCRS meeting in San Diego. It … More
1835: efficient phaco chop dense nucleus
This patient has a dense cataract — the kind where the posterior plate of the nucleus is tough and fibrous … More
1833: Curriculum lesson 23: dense cataracts
The next lesson in our 25 part curriculum series is focused on dealing with dense cataracts. You can see the … More
1822: lens snare/loop splits the bag!
The idea of a lens snare or loop to mechanically split the nucleus is decades old and we previously discussed … More
1801: continual injection of viscoelastic
We use viscoelastic (also called OVD = ophthalmic visco-surgical device) during cataract surgery to protect the delicate intra-ocular structures, in … More
1768: brunescent dense rock cataract
This is a tough case and when you see the microscope lights turned up but still no red reflex, you … More
1611: dense cataract with foot pedal video
Surgeons who want to learn phaco chop sometimes have a challenge with the foot pedal control. When should energy be … More
1516: ultra dense black cataract
Our guest surgeon is an amazing surgeon, Dr Neto Rosatelli from Brazil. He presents a very, very dense cataract in … More
1514: “the toughest case of my life”
“The toughest case of my life” is quite a statement when it is said by a highly experienced, expert level … More
1476: ASCRS case 7: dense cataract tricks
Another great case from the 2022 ASCRS CataractCoach instructional course, this time focusing on dense cataracts. There are some good … More
1453: Quiz: What is your next step?
This is a tough case where the nucleus is very dense and difficult to chop, but the bigger challenge is … 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
1382: hyper mature cataract MSICS
In an eye with a truly dense, hyper-mature cataract, MSICS (manual small incision cataract surgery) can be a better option … More
1301: dense cataract divide and conquer
The divide and conquer technique is a tried and true method for nucleo-fractis. It works well in a variety of … 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
1239: dense brunescent cataract
This patient has a very dense, brunscent, fibrous cataract in the left eye. Fortunately, the right eye has a moderate … More
1213: chop this dense cataract in the bag
This patient has a 4+ nuclear sclerotic cataract which we would classify as dense. Fortunately, it is not quite at … More
1155: dense cataract, small pupil, MIGS
This is a tough case in an 87 year old patient who has a small pupil, a dense cataract, and … More
1138: my 100 year old cataract patient
This patient is 100 years old and she now has decided that she would like cataract surgery. Certainly we are … More
1124: Pearls for learning MSICS
It may surprise you to know that many young ophthalmologists in the USA do not have experience performing MSICS. In … More
1123: dense brunescent cataract chop
This video showcases the entire surgery which we are running at 2x speed so that it is just 5 minutes. … More
1091: Dense Cataract and Nystagmus
Our guest surgeon is Dr Érico Jun Oda from Brazil and he demonstrates an expert level cataract surgery in a … More
Dense Cataract Vertical Chop
For a dense cataract, the vertical chop technique works well because the chop will propagate through the nucleus. We have … More
Submarine Chop for dense cataracts
For a dense cataract, performing phaco chop is challenging because the central lens nucleus is so hard that the chop … More