Performing surgery on a 21 year old with a mature white cataract requires a different mindset than your typical elderly … More
Tag: white cataract
2905: dissecting a lens fibrotic membrane
When dealing with a white cataract, a central fibrotic plaque can make a standard capsulorhexis nearly impossible. After staining the … More
2894: How do you save the capsule now?
Recovering from the Argentinian Flag Sign The Argentinian Flag Sign is a classic surgical challenge where high intra-lenticular pressure causes … More
2880: small anterior segment angle closure
Operating in an eye with a history of angle closure and a shallow anterior chamber presents a significant crowded environment. … More
2874: Morgagnian cataract with zonulopathy
A Morgagnian cataract (named after Giovanni Morgagni the Italian father of anatomic pathology from the 1700s!) represents a very late … More
2852: subluxated cataract requires ICCE
There was a time many years ago (40+ years ago) where the standard procedure for cataract surgery was to perform … More
2851: AC whiteout from phacolytic glaucoma
Patients sometimes ask if cataract surgery is absolutely required right now and the answer for the vast majority of patients, … More
2845: white cataract after intra-vit injection
An intra-vitreal injection that accidentally punctures the posterior lens capsule often triggers an acute traumatic white cataract. This occurs because … More
2818: zonulopathy & iris clip phakic IOL
Operating on a highly myopic eye with a pre-existing iris-claw (Artisan/Verisyse) phakic IOL and zonular instability requires a sophisticated, staged … More
2718: uveitis white cataract & synechiae
Performing cataract surgery in an eye with chronic uveitis presents a triple challenge: a fragile blood-aqueous barrier, dense posterior synechiae, … More
2714: great skill after 4500 cataract cases
Our guest surgeon has been working hard and in the first few years after training has already performed 4500 cataract … More
2704: cataract after ruptured globe repair
Performing cataract surgery in an eye with a recent corneal laceration and a lacerated anterior lens capsule requires careful surgical … More
2700: Aussie resident does a white cataract
Learning to perform cataract surgery on white cataracts during residency is a valuable yet challenging experience that builds surgical confidence … More
2695: re-thinking intumescent white cataracts
On yesterday’s CataractCoach Podcast (the top podcast in all of ophthalmology!) we discussed applying engineering principles to challenging cataract surgery … More
2669: Quiz: What does this sign mean?
You are about to start doing phaco chop for this white cataract and you notice that the capsulorhexis is no … More
2654: dense white cataract with a surprise
Approaching cataract surgery in a dense white cataract with a fibrotic anterior capsule presents significant challenges that require careful planning … More
2648: Rosatelli Double Capsulorhexis
We love Dr Neto Rosatelli and his incredible surgical skill. An intumescent white cataract poses significant challenges during cataract surgery … More
2636: mini-rhexis with phaco handpiece
This video showcases an advanced technique (not for beginners) to perform a capsulorhexis in eyes with white cataracts. The technique … More
2626: white cataract with pseudo-exfoliation
Today is another video from our Complete Cataract Case series where we show an entire surgery, from start to finish, … More
2615: dense white cataract with femto laser
Our guest surgeon uses a femtosecond laser to help with cataract surgery on a dense white cataract. The question is … More
2566: spiral out capsulorhexis technique
We love white cataracts because it is a true miracle of modern medicine where we can take truly blind people … More
2548: pars plana vitreous tap for shallow AC
This is a very difficult and challenging case where our guest surgeon does an amazing job and offers so many … More
2544: Quiz: Why the sudden cataract?
Time for another CataractQuiz™: Why did this patient suddenly develop a white cataract? This is a 65 year old construction … More
2510: intumescent cataract chop
Our guest surgeon does a great job with this tough case of an intumescent white cataract. Fortunately, there is just … More
2452: What about the fibrotic capsule?
This patient presents with a long-standing white cataract and when you remove it there is a fibrotic plaque. It’s actually … More
2446: Quiz: What kind of cataract is this?
Look carefully at the title photo and ask yourself, “Hmmm, what kind of cataract is this?” Think about it. Is … More
2434: young surgeon’s great phaco chop
Our guest surgeon is young and at the beginning of a long career and has the skill development to perform … More
2425: You just suffered the Argentinian Flag
When looking at this picture you can see the likeness of the Argentinian flag: blue-white-blue because the capsule which was … More
2411: white cataract drops into vitreous
I travel frequently to give lectures all over the world and that meant more than 20 countries in 2024 alone. … More
2398: white cornea and white cataract
This patient sustained penetrating ocular trauma in the past which resulted in a corneal leukoma and a white cataract with … More
2384: aspiration probe for the capsulorhexis
In this video, our guest surgeon uses the 23g aspiration probe to hold the anterior lens capsule and then create … More
2383: liquefied lens cortex aspiration
We love white cataracts because of the incredible difference it makes in our patients’ lives. They walk into our clinic, … More
2377: intumescent white cataract options
In this review video we discuss the various options for dealing with intumescent white cataracts an in particular with the … More
2371: resident spiral out capsulorhexis
Performing a spiral out capsulorhexis is a good way to approach a white cataract where the risk of capsular run-out … More
2370: first time doing a white cataract
As you know, we like to keep all resident cases anonymous here on CataractCoach. And this video is a resident’s … More
2363: resident white cataract case
I’ve often said that one of the most amazing miracles of modern medicine is performing phaco for a patient with … More
2305: Quiz: Is it intumescent or not?
By looking at the title picture, how can you tell if this white cataract is intumescent or not? Think about … More
2285: traumatic cataract with iridodialysis
Traumatic cataracts are challenging because we are not often aware of the full extent of the damage to the delicate … More
2283: white cataract sutureless MSICS
Here at CataractCoach we have long extolled the virtues of MSICS: manual, shelved incision cataract surgery, where we make a … More
2231: catarata blanca-fibrosa
This patient has a dense white cataract but in addition there is fibrosis of the anterior capsule. You can see … More
2217: now you notice capsular wrinkles…
Sometimes with white cataracts, it can be difficult to notice subtle signs during the pre-operative exam and consultation. In this … More
2208: reverse soft shell OVD technique
Our guest surgeon says that this technique has a 100% success rate in preventing the Argentinian Flag Sign of capsular … More
2182: white cataract double rhexis
The double rhexis technique means that we first perform a smaller capsulorhexis in order to safely decompress the capsular bag … More
2181: white cataract horizontal chop
Our guest surgeon here is a resident who is doing a great job of horizontal chop in this white cataract. … More
2160: How to save this run-out rhexis?
With an intumescent white cataract the risk of capsular run-out (and Argentinian flag sign) is high and all seasoned cataract … More
2140: temporal MSICS for white cataract
Our international CataractCoach fans may be surprised to learn that the vast majority of USA cataract surgeons do not know … 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
2117: capsulorhexis with the bimanual IA
Our guest surgeon uses the bimanual irrigation/aspiration instruments to perform the capsulorhexis in an intumescent white cataract. The anterior capsule … More
2097: I like this baby capsulorhexis, why?
Now you must be thinking, “Wait a minute, Cataract Coach, you always tell us not to make a baby rhexis, … More
2096: and suddenly, the capsule split…
We have all been there: trying to do needle decompression of an intumescent white cataract and then suddenly, the capsule … More