2901: Quiz: When did the capsular bag break?

95% of surgeons will miss this very subtle sign – will you be able to spot it? In this CataractQuiz™ … More

2875: please stop using scissors for ECCE

Back when I was a resident (all old surgeons say those words…) my professors taught me to perform ECCE with … More

2858: polishing the capsule and then it splits

Polishing the capsule and then it splits! Now what? It’s the moment every surgeon dreads: you’re polishing the posterior capsule … More

2815: Why did the nucleus drop?

Let me first start out by telling you that I do not know exactly what happened here and we are … More

2807: phaco probe breaks the capsule

When a posterior capsule rupture (PCR) occurs, the surgeon’s immediate priority is stability. First, do not abruptly remove the phaco … More

2779: capsule split with posterior polar

When a posterior capsule split occurs during surgery for a posterior polar cataract, the priority is to preserve the anterior … More

2776: pre-existing posterior capsule rupture

Cataract surgery in an eye with a posterior capsule rupture from a prior intravitreal injection requires careful preoperative planning and … More

2770: first ever posterior capsule rupture

This complication happens to 100% of cataract surgeons: the posterior capsule ruptures during phaco and now you must complete the … More

2755: split bag without a vitrector available

This patient has a posterior polar cataract and our guest surgeon is operating in an environment that does not have … More

2752: Quiz: Why is the IOL dropping?

Our anonymous surgeon thinks that the case is going beautifully but then with IOL insertion, the entire IOL starts dropping … More

2751: cleaning the bag and then it splits open

A highly experienced surgeon is more likely to experience a rupture of the posterior capsule during cortex removal rather than … More

2716: IOL scaffold technique in PC rupture

The IOL scaffold technique is an effective intraoperative strategy in managing posterior capsule rupture during cataract surgery. When the posterior … More

2691: This just happened. Now what?

Our anonymous surgeon notices a very clear red reflex in this quadrant during cataract surgery. What is happening in this … More

2681: the capsule splits in posterior polar

In the two cases of posterior polar cataract shown here, the posterior capsule split occurs and the anterior hyaloid face … More

2634: Quiz: When did the capsule break?

Our last case was so popular that we are presenting the same challenge: can you determine, when did this capsule … More

2580: and just like that the capsule splits

We are preferentially looking for surgical complication videos (and we can feature them anonymously if desired) and today our guest … More

2513: When you encounter vitreous…

When you encounter vitreous during cataract surgery there are some very important guidelines that you should keep in mind to … More

2501: Quiz: Where did the holes come from?

Time for another CataractQuiz™ to test your skills, knowledge, and power of observation. In this video, our anonymous guest surgeon … More

2471: Learn the ominous Snap Sign!

Professor Ronald Yeoh from Singapore taught us all about the Snap Sign many years ago. The “snap” is when the … More

2440: the probe just punctured the capsule

Looking at this title picture with that hole punch sign, we know that there are some serious challenges ahead. At … More

2404: the probe just punctured the capsule

For experienced surgeons, complications involving the capsule happen more often during epi-nucleus and cortex removal than during nucleus removal. In … More

2320: Phaco & GATT but the capsule breaks

This patient needs cataract surgery and also a glaucoma procedure (GATT) to help control the intra-ocular pressure. During the cataract … More

2235: Cataract Quiz: What are these lines?

This is a routine case and there is a nice incision, a great capsulorhexis, and the cataract was removed efficiently. … More

2213: LAL haptic breaks the capsular bag

In this case, our guest surgeon performs a routine cataract surgery but then when he is implanting the LAL+ Light … More

2139: is the posterior capsule ruptured?

Look carefully at the picture here and ask yourself: what happened and what is the next move? That defect looks … More

2128: soft white cataract with PC rupture

This patient has a soft white cataract from prior trauma and now it is time for cataract surgery. Look carefully … More

2125: lens punctured during vitrectomy

This patient recently had a pars plana vitrectomy and there was an iatrogenic complication when the vitrector inadvertently punctured the … More

2101: posterior polar with split capsule

This is a very tough case where a posterior polar cataract already has a large split in the posterior capsule. … More

2069: how to manage posterior capsule rupture

If you perform cataract surgery, you will need to be able to manage posterior capsule rupture. Even the most experienced … More

2056: IOLs in posterior capsule rupture

Our guest surgeon is Dr Suvira Jain and she runs a great YouTube channel called PhacoPoint where she teaches cataract … More

2024: a resident’s first capsule rupture

All cataract surgeons will experience a posterior capsule rupture many times during the course of a career. This complication is … More

1982: IOL exchange with open capsule

This patient received a light-adjustable lens (LAL from RxSight) and was not happy with the outcome due to both negative … More

1933: cannula punctures posterior capsule

This patient started with an intumescent white cataract and that itself is a challenge. However the real difficulties happened at … More

1919: converting from phaco to MSICS

All cataract surgeons will encounter cases of posterior capsule rupture during phaco. It is a known complication and can occur … More

1871: the posterior capsule just ruptured…

It happens to ALL cataract surgeons: the posterior capsule ruptures and there is vitreous prolapse while cataract material is still … More

1848: ASCRS 2023 Course Case 7

On Sunday, May 7, 2023 we had our Best of CataractCoach.com course at the ASCRS meeting in San Diego. It … More

1846: ASCRS 2023 Course Case 6

On Sunday, May 7, 2023 we had our Best of CataractCoach.com course at the ASCRS meeting in San Diego. It … More

1839: posterior polar with capsule rupture

This is a really difficult surgery because it is a posterior polar cataract and there is a pre-existing posterior capsule … More

1774: When did the posterior capsule rupture?

I have watched this video a few times and I am still not sure when the capsule ruptured. Look at … More

1773: capsule ruptured by intra-vitreal injection

With millions of intra-vitreal injections being performed every year, an iatrogenic rupture of the posterior capsule by the needle is … More

1766: when did the posterior capsule break?

Our guest surgeon, Dr Lukan Mishev, is a highly talented ophthalmologist who is an expert is anterior and posterior segment … More

1691: IOL haptic tears posterior capsule

Another tough case today: as this resident implants a three-piece IOL, the leading haptic is twisted and the sharp tip … More

1690: capsule rip extends to posterior capsule

This is a heartbreak of a case. The anterior lens capsule splits wide open with the classic Argentinian Flag Sign … More

1439: save this case of capsule rupture

Our guest ophthalmologist is Dr Cathy McCabe from Florida, USA and she is truly a master surgeon, having done tens … More

1409: vitreous prolapse into the AC

An anonymous surgeon submitted this video and I knew that I had to share it with our fans. Every surgeon … More

1408: the posterior capsule is ruptured

Look carefully at the title picture and you will see that the posterior capsule is ruptured and it appears to … More

1379: converting from phaco to MSICS

If the posterior capsule ruptures while you have most of the nucleus still inside the eye, the best decision may … More

1214: the chopper just broke the capsule

A ruptured posterior capsule is a complication that can happen in any cataract surgery. There are two types of ophthalmologists … More

1162: resident posterior capsule rupture

This resident experiences a posterior capsule rupture during phaco and there is still a lot of nuclear lens material in … More