2934: ectopia lentis et pupillae

Ectopia Lentis et Pupillae is a rare, autosomal recessive condition primarily linked to mutations in the ADAMTSL4 gene located on … More

2870: pupilloplasty & capsular bag fixation

This video features our talented guest surgeon performing two tough cases, both with a pupilloplasty and each doing a different … More

2789: Alondra knot vs Cupid needle for IOL

Today our two guest surgeons are presenting different ways of securing a loose IOL to the sclera using sutures. The … More

2787: IOL suspension Gore-tex suture loop

Our guest surgeon does a great job with this very tough case. The patient sustained severe ocular trauma and now … More

2783: imaging shows severe zonulopathy

Severe zonulopathy with marked phacodonesis requires early mechanical stabilization of the capsular bag to permit safe cataract surgery. After creating … More

2774: stopper knot technique to secure IOLs

The stopper-knot technique using expanded polytetrafluoroethylene (Gore-Tex) sutures offers a stable, high-integrity method for scleral fixation of a dislocated intraocular … More

2768: Hoffman Pocket Technique Sutured IOLs

The Hoffman pocket technique offers a valuable approach for securing scleral-sutured intraocular lenses in eyes with inadequate capsular support while … More

2572: hereditary lens subluxation

When we see hereditary lens subluxation in a younger patient, we should think of systemic conditions which can be associated … More

2571: zonular loss noted in cortex removal

In this resident case, you can clearly see zonular loss during cortex removal but you could have also seen it … More

2534: fixing severe zonular loss

Our guest surgeon does a fantastic job with this very difficult cataract case. You can see in the title picture … More

2432: fix zonular loss with CTS + Goretex

This is a tough case of a traumatic cataract with about half of the zonular support being compromised (6+ clock … More

2355: transconjunctival IOL fixation

Our guest surgeon uses 8-0 Gore-Tex suture to fixate an IOL with eyelets to the sclera using a transconjunctival approach … More

2328: saving the capsular bag in ectopia lentis

This patient has ectopia lentis with severe subluxation of the crystalline lens. Our guest surgeon does a great job of … More

2289: scleral suture fixation of a toric IOL

This patient had trauma which resulted in a ruptured globe as you can see from the large corneal laceration which … More

2167: Hashtag suture to stabilize the IOL

This young patient has Marfan Syndrome and previously underwent pars plana vitrectomy and lensectomy for a dislocated crystalline lens with … More

2138: connecting IOL haptic to a suture

When performing the Yamane technique of intra-scleral haptic fixation there are two main challenges: (1) externalizing the haptics through the … More

2136: secure the IOL, CTR, and bag complex

This patient has a history of prior cataract surgery with CTR placement and pseudo-exfoliation glaucoma. You can see an active … More

2075: scleral fixated IOL and iris cerclage

This patient sustained ocular trauma which resulted in aphakia without capsular support and chronic mydriasis. Our guest surgeon does a … More

2074: Quiz: How to fix this dislocated IOL?

This patient is sent to you with no prior history other than having cataract surgery a year ago and then … More

2066: belt loop with flanges in the cornea

We have seen many techniques of IOL fixation in cases of insufficient capsular support where the flange technique is used … More

2063: the problem of exposed flanges

We have featured many techniques of IOL fixation in cases of insufficient capsular support such as the Yamane technique, the … More

2040: Ahmed segment secured with Gore-tex

This patient presents with a traumatic cataract with extensive zonular loss which means that simply placing an IOL within the … More

2038: relay technique SFIOL without flanges

Since the development of the Yamane technique, the idea of flange creation to secure an IOL to the sclera has … More

2014: scleral fixation using internal loops

There are so many different techniques to fixate an IOL in an eye that is lacking capsular support. While the … More

2012: Gore-tex suture fixation of tilted IOL

This patient was pseudophakic and then sustained ocular trauma which resulted in zonular loss and a tilting of the IOL … More

1934: combined IOL + iris prosthesis

This is a novel device that combines an artificial iris with an IOL in order to address aphakia and aniridia … More

1909: zonulopathy with capsule fixation

This patient has extensive zonulopathy and phacodonesis which is going to make the cataract surgery difficult and also pose a … More

1874: challenging rescue of a dislocated IOL

In this case, the IOL is falling back into the vitreous cavity and it is certainly entangled with the vitreous. … More

1860: Canabrava double flanged technique

I was recently at the BRASCRS cataract and refractive surgery meeting in Saõ Paulo, Brazil and I saw an amazing … More

1775: the IOL is sitting on the macula

This patient suffered late dislocation of the IOL+capsular bag complex and it fell into the vitreous cavity and it now … More

1730: belt loop to fixate Ahmed segment

This patient sustained ocular trauma which resulted in loss of zonular support for about 180 degrees, allowing tilt and decentration … More

1697: what is this loose Gore-Tex suture?

Our guest surgeon, Dr Sara Bozorg, has sent us a very interesting case. This patient had some unknown procedure performed … More

1686: dense cataract iris & zonular loss

This case is beyond 10 out of 10 in difficulty and our guest surgeon, Dr Steve Safran, is a true … More

1624: gore-tex intra-scleral IOL fixation

I was fortunate to give this presentation as part of the Ophthalmic Premier League competition at the AAO 2022 meeting … More

1607: Z-suture technique to secure IOLs

There are so many innovative techniques in ophthalmology, that it is quite a challenge to learn all of them. This … More

1517: Star Technique for dislocated IOLs

Even after performing ocular surgery for 25 years, I still learn so much by making these CataractCoach videos and today … More

1492: suture the IOL to a prosthetic iris

This patient sustained severe ocular trauma which left the eye aphakic with no capsular support and also significant iris damage. … More

1422: IOL surgery for ectopia lentis

While having a dislocated crystalline lens is a rare occurrence, it can pose surgical challenges due to the lack of … More

1421: belt loop technique to secure IOLs

Our guest surgeon, Dr Cathy McCabe from Florida, USA has an innovative way of securing IOLs to the sclera in … More

1161: IOL rescue suture fixation

Twenty years ago, the most common method of suturing an IOL to the sclera was using 10-0 prolene and a … More

1140: IOL punch for suture fixation

There are many different techniques for suture fixation of an IOL to the sclera: Yamane, Canabrava, Gore-Tex, belt loop, and … More

1129: exposed and eroding IOL sutures

The best placement of an iOL is in the capsular bag. That is the end of the story. There are … More

1049: four flanged IOL suture fixation

We have seen a lot of innovation with regards to IOL fixation to the sclera. There is the Yamane technique … More

1045: suturing the IOL to the CTR

Our guest surgeon is Dr. Val Apostolov from Amsterdam and he demonstrates a technique that I have never seen before: … More

1026: suturing the IOL to the iris

Our guest surgeon shows us his technique for suturing an IOL to the iris in a patient with long-standing peudo-exfoliation … More

compilation video: suture-fixated IOLs

This video features all sorts of suture-fixation techniques for securing IOLs in cases where there is limited or no capsular … More