This is a complete cataract case, shown start to finish, where I perform the entire surgery and present it to … More
Tag: toric IOL
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
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
2665: How to reposition a Toric IOL
Repositioning a toric intraocular lens (IOL) is indicated when postoperative rotation leads to suboptimal astigmatic correction, typically beyond 10 degrees … More
2468: the prior vitrectomy hit the capsule
This patient had 4 prior pars plana vitrectomies: the first was to treat a retinal detachment, then the patient re-detached … 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
2303: double toric IOLs in the bag
Our podcast yesterday (the top podcast in all of ophthalmology) featured Dr Robert Weinstock where he described an unusual case … 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
1972: toric guidance system gets confused
Remember that you should trust your surgical judgment more than any machine. In this case, the toric guidance system gets … More
1950: toric IOL with prior 16-cut RK
I have so many radial keratotomy patients who are seeking cataract surgery, usually at least a couple every week (and … More
1949: Toric IOLs in Fuchs’ Corneal Dystrophy
can you use a toric IOL in cataract surgery if the patient has Fuchs’ corneal dystrophy?
1650: how to reposition a toric IOL
When we implant a toric IOL to address pre-existing corneal astigmatism, we need to orient the axis of the IOL … More
1592: off-axis incisions and toric IOLs
Your surgically induced astigmatism (SIA) from your standard phaco incision is probably far less predictable than you think. There are … More
1564: on-axis incisions for toric IOLs
In most cases, I like to make the phaco incision on the steep meridian of corneal astigmatism. If the patient … More
1501: complete toric IOL technique
Toric IOLs are great options to address corneal astigmatism, especially when it is 1 diopter or greater in magnitude. This … More
1480: ASCRS case 11: reposition toric IOLs
Toric IOLs are great for treating significant degrees of corneal astigmatism and in the USA, we have a range that … More
1419: How to reposition a toric IOL
It is now months after the original cataract surgery and you examine your patient and realize that the toric IOL … More
1317: Is a toric IOL ok in Fuchs’ Dys?
We can do cataract surgery for patients with Fuchs’ corneal dystrophy, but we must weigh the relative risks of corneal … More
1259: OSN NY differing astigmatism
This talk is one of my lectures from the OSN NY 2021 meeting. This is the Ocular Surgery News meeting … More
1258: OSN NY managing capsular issues
This talk is one of my lectures from the OSN NY 2021 meeting. This is the Ocular Surgery News meeting … More
1251: re-aligning a toric IOL without OVD
Our guest surgeon, Dr Alex Abdo Martins from Brazil, has a very interesting case for us. This patient has a … More
1249: time for the second eye of #1248
Yesterday’s video (1248) showed a very challenging case of compromised zonular support in a patient who may have had prior … More
1227: secrets for radial keratotomy patients
While radial keratotomy (RK) is rarely used as a refractive surgery today, a few decades ago it was very popular. … More
1212: resident posterior polar cataract
Studies have shown that 1 out of 3 posterior polar cataract surgeries result in a ruptured posterior capsule. Here’s the … 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
1196: newbie guide for toric IOL success
Using a toric IOL is an important skill for an ophthalmology resident to learn. This video gives pearls for learning … More
1084: toric planning for high astigmatism
Our video today showcases the surgical planning for this patient with a high degree of corneal astigmatism. We will go … More