1876: white cataract with posterior polar

This patient had cataract surgery of the first eye done elsewhere and the surgeon noted a posterior polar opacity. This … More

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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 needle decompression

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

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

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

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

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

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 Double Capsulorhexis

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

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: intumescent decompression

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

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

Spiral Capsulorhexis Technique

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