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Cataract Coach™

Professor Uday Devgan MD, renowned Los Angeles cataract surgeon, teaches the Best Techniques for Cataract Surgery. All Content © 2018-2023 Uday Devgan Cataract Coach™

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Tag: white cataract

1786: rescuing Argentinian flag sign

What do you do when the anterior capsule tear suddenly extends out to the lens equator? This is the dreaded … More

argentinian flag, intumescent, white cataract

1785: centrally attached zonular fibers

This is an usual case where there are zonular fibers which are centrally attached onto the anterior lens capsule, so … More

capsulorhexis, white cataract

1778: resident week: needle decompression

This week we will feature resident cases submitted anonymously from surgeons in training from around the world. Today’s case is … More

resident cataract surgery, white cataract

1755: intumescent cataract double rhexis

Our guest surgeon does a beautiful job with this intumescent white cataract. Because the cortex has liquefied, the capsular bag … More

double rhexis, intumescent, white cataract

1648: cystotome needle decompression

This resident surgeon does a great job on this white cataract case where he performs needle decompression of the intumescent … More

intumescent, white cataract

1639: intumescent & pressurized cataract

Increasing lens thickness indicates danger in cataract surgery because liquefied lens cortex can pressurize the capsular bag, increasing the risk … More

intumescent, white cataract, zepto

1638: surprise zonular weakness

This resident surgeon does a good job with this tough case of a traumatic cataract. The intumescent liquefied lens cortex … More

resident cataract surgery, weak zonular support, white cataract

1523: Zepto for intumescent cataracts

We have seen the videos before where the Argentinian Flag sign develops instantly as the anterior lens capsule splits uncontrollably. … More

intumescent, white cataract, zepto

1513: white cataract with fibrotic capsule

Our expert surgeon today shows us an approach to a white cataract with a fibrotic anterior lens capsule. This will … More

capsule scarring, fibrotic capsule, white cataract

1440: green reflex canine cataract surgery

This patient has an unusual eye when you compare it to what you are used to. That’s because the patient … More

canine cataract surgery, white cataract

1438: intra-lenticular foreign body

Our guest surgeon is Asst. Prof. Christina Mamalis MD from the University of Texas in Houston, and she presents a … More

corneal foreign body, ruptured globe, white cataract

1436: recover from Argentinian Flag Sign

The complication of uncontrolled splitting of the anterior lens capsule in an intumescent white cataract is something that all cataract … More

argentinian flag, white cataract

1417: Morgagnian cataract with lens milk

The liquefied lens cortex in this cataract looks like milk and it seeps out of the capsular bag when the … More

morgagnian cataract, white cataract

1414: white cataract, small capsulorhexis

A small capsulorhexis can pose a big challenge during cataract surgery. Keep in mind that a typical human cataractous crystalline … More

capsulorhexis, white cataract

1351: techniques for white cataracts

This is the talk that I am giving today, Monday, January 17, 2022 at the Hawaiian Eye meeting. It’s a … More

compilation, white cataract

1345: capsulorhexis split – now what?

This patient has a white cataract and this resident is able to perform a successful capsulorhexis after staining with trypan … More

capsular tear, capsulorhexis, white cataract

1334: cataract surgery under 3 min but…

This anonymous surgeon is very talented and has done thousands of cataract surgeries. This surgeon is able to complete his … More

efficiency, white cataract

1303: white cataract double capsulorhexis

This video shows the use of 23g or 25g forceps to create the capsulorhexis via the paracentesis incision. This allows … More

double rhexis, white cataract

1262: cataract after intra-vitreal injection

In previous videos, we have warned against the issue of an intra-vitreal injection inadvertently hitting the lens capsule and causing … More

intra-vitreal injection, traumatic cataract, white cataract

1240: resident double rhexis technique

For a white cataract, particularly a pressurized and intumescent white cataract, the double capsulorhexis technique is very helpful to avoid … More

double rhexis, resident cataract surgery, white cataract

1222: traumatic cataract capsule fibrosis

Our guest surgeon has a very interesting case to share. This patient sustained a traumatic injury many years ago and … More

capsule scarring, fibrotic capsule, traumatic cataract, white cataract

1220: white cataract phaco puncture

This is a resident case of an intumescent white cataract. We have covered this topic many times and the theme … More

capsulorhexis, intumescent, white cataract

1211: white cataract drops into vitreous

Our guest surgeon presents a case of a surprise complication when the white cataract falls into the vitreous cavity. He … More

dropped nucleus, white cataract

1183: Beware of Sensory Exotropia

This patient has more than just a white cataract and you will need to step back from the slit-lamp microscope … More

sensory exotropia, white cataract

1173: phaco aspiration of lens milk

Intumescent white cataracts can pose a problem with capsulorhexis creation. This is because the cortex has liquefied and pressurized the … More

intumescent, white cataract

1151: white cataract and uveitis synechiae

This patient has a long standing history of uveitis which has resulted in synechiae between the iris and the anterior … More

pupil ring, uveitis, white cataract

1150: white cataract with iridoplasty

This patient was undergoing cataract surgery by a novice surgeon who ran into trouble right at the beginning of the … More

iridoplasty, white cataract

1147: white cataract & damaged IOL

This intumescent white cataract case becomes even more challenging when the IOL was misloaded by the surgical tech and the … More

iol exchange, white cataract

1144: white cataract intra-capsular surgery

Decades ago the standard cataract surgery was an intra-capsular cataract extraction. This involved making a large incision, injecting alpha chymotrypsin … More

weak zonular support, white cataract

1143: why such a tiny capsulorhexis?

This is the double capsulorhexis technique which is a great choice for intumescent white cataracts. In these types of cases, … More

double rhexis, white cataract

1141: white cataract with coloboma

This patient has a lens coloboma with about three clock hours of missing zonular support. This can make the surgery … More

coloboma, white cataract

1132: Playlist: white cataract capsulorhexis

Performing a successful capsulorhexis is one of the biggest challenges in eyes with white cataracts, particularly intumescent white cataracts. This … More

capsulorhexis, playlist, white cataract

1119: resident attempts a white cataract

This is case number 50 for a resident who is being supervised by a senior attending faculty member. It is … More

resident cataract surgery, white cataract

1057: Resident Double Capsulorhexis

The idea behind the double capsulorhexis is to avoid the capsule run-out (Argentinian Flag Sign) for intumescent white cataracts that … More

double rhexis, white cataract

1052: Spiral Out Capsulorhexis

Our video features a young and talented surgeon, Dr Priyanka Pantola from Kanpur, UP, India and she is showing us … More

intumescent, white cataract

1040: White Cataract Double Rhexis

Our guest surgeon is Dr. Manbir Singh from India and he is showing us a dense white cataract case with … More

double rhexis, white cataract

1037: Trifocal IOL with white cataract

Trifocal IOLs require refractive accuracy. We need to be able to deliver close to a plano outcome without much residual … More

trifocal, white cataract

1004: Preventing Capsular Rip in white cataracts

This 30 year old patient has a tough situation: bilateral white cataracts with high pressure within the capsular bag. There … More

white cataract

white cataract needle decompression

This patient is a good candidate for needle decompression because the intumescent cataract has a distinct fluid layer and we … More

needle decompression, white cataract

Pseudo-Exfoliation White Cataract

Our guest surgeon today is a young ophthalmologist from Spain and he is performing phaco for a patient with a … More

pseudo-exfoliation, white cataract

Four handed phaco! What?

This is a case where we knew ahead of time there would be issues. The patient is mid 50s in … More

pars plana, white cataract

Recovering from an anterior capsule rip

We have extensively covered the topic of white cataracts here on CataractCoach and we have an entire subcategory devoted to … More

argentinian flag, capsule rupture, white cataract

Femtosecond Laser White Cataract

Our guest surgeon today is Xiongfei Liu MD from Sacramento, California. He was previously a resident with us at our … More

white cataract

Rock the Nucleus in White Cataracts

The topic of white cataracts is so popular here on CataractCoach that we have an entire category devoted to it … More

white cataract

White Cataract Double Capsulorhexis

It is always a pleasure to learn from a master surgeon like Dr Pradip Mohanta from West Bengal, India. He … More

white cataract

Cataract Quiz: how to rescue this case

This patient has an intumescent white cataract and we know that poses a risk of capsular run-out due to the … More

cataract quiz, white cataract

Cataract Quiz: intumescent decompression

One of our favorite topics on CataractCoach is the intumescent white cataract. We know that the capsular bag is pressurized … More

white cataract

Intumescent Cataract Auto Aspiration

We know that intumescent white cataracts can be challenging because the lens capsule is pressurized with liquefied lens cortex. This … More

white cataract

Spiral Capsulorhexis Technique

After needle decompression of the cataract, using a spiral technique for the capsulorhexis has a distinct advantage: if there is … More

capsulorhexis, white cataract

White cataract needle decompression

We know that an intumescent white cataract is fluid-filled with liquefied lens cortex. This makes the pressure within the capsular … More

intumescent, white cataract

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