For a case like this where the pupil is mid-dilated to about 5 mm in diameter, be sure to make … More
Tag: small pupil cataract surgery
1680: successful small pupil MSICS
Our guest surgeon has a lot of experience in performing MSICS, even in a tough case like this with a … More
1673: lift the iris in a small pupil case
For patients with smaller pupils, such as this case with about a 4 mm pupil diameter, I tend not to … More
1667: case 2500 small pupil, no ring needed
Many surgeons will see this small pupil and immediate ask for a pupil expansion ring or iris hooks and that … More
1663: resident fixes synechiae small pupil
This small pupil case has a surprise in store for you. The patient has a history of prior uveitis which … More
1662: expansion ring for small pupils
Happy Thanksgiving to my USA followers – my favorite holiday of the year because we express our gratitude for the … More
1632: sphincterotomy & bag handle
The two techniques shown in this video have not been previously featured on CataractCoach and since they are from the … More
1557: small pupil and dense cataract
This is a fun video where I give the commentary while watching it for the first time. The case is … More
1407: challenging uveitic cataract
This patient is monocular and has an opaque cataract that developed in the setting of chronic uveitis. This has cause … More
1392: MSICS with a small pupil
You must be wondering why I have been posting so many MSICS (manual small incision cataract surgery) videos in the … More
1388: small eye, small pupil, dense cataract
This is a very tough case: a small eye with a shallow anterior chamber, a small pupil with iris laxity, … More
1359: pupil stretch without iris damage
We can stretch the pupil using two hooks in order to enlarge a small pupil for cataract surgery. But how … More
1353: this means no pupil ring needed
There are some cases where you absolutely need a pupil expansion ring or iris hooks, such as this case. That … More
1348: pupil stretch, toric IOL, steroid implant
Our guest surgeon Dr Himani Goyal does a masterful cataract surgery for this monocular patient. We are showing the entire … More
1329: pupil expansion with iris speculum
Our guest surgeon today is showing a different type of pupil expansion ring. It is made of metal and it … More
1326: operating through a small pupil
Our guest surgeon is highly talented and from watching this surgery, I suspect has done many thousands of cataract surgeries. … More
1284: Pupil Stretching Works!
Pupil stretching works. And it works well without additional instrumentation or devices. In this example the pupil went from 3.9 … More
1200: small pupil toric IOL case
These are my pearls for implanting a toric IOL and achieving accurate alignment in small pupil cataract cases. These cases … More
1194: phaco use after IOL implanted
This is a tough case for a resident. A smaller pupil with a denser cataract and in an eye with … 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
1130: Pupil Expansion with B-Hex Ring
If you really want to be honest with yourself, you will agree that the B-Hex pupil expansion ring is amazing. … More
1093: Audience Poll: Pupil Ring or Not?
This is the maximum pharmacologic dilation of about 4mm and the patient is noted to be taking tamsulosin (Flomax) for … More
This sign means I need a pupil ring
this sign means that I need a pupil ring for cataract surgery
Playlist: Small Pupil Cataract Surgery
Small pupil cases are relatively common, so all cataract surgeons must learn to master the techniques for these cases. This … More
lift the iris in smaller pupil cases
While we think that an 8 mm pupil is very well dilated, we must remember that the capsular bag has … More
Make 2 Paracentesis Incisions
In the USA, most surgeons use coaxial I/A for cortex removal and as such, they tend to make a single … 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
Cataract Surgery with a Mid-Size Pupil without using iris hooks or expansion devices
How do we do cataract surgery in an eye with a mid-sized pupil of about 3 or 4 mm in … More