Yesterday’s CataractQuiz™ was a tough one and most viewers did not guess the correct answer. So today, here is another…
2800: Quiz: You think this is good, but it’s not
Let’s start the new year with a quiz. Look carefully at the title photo and tell me what the issue…
2799: Podcast 145: Ozlem Evren Kemer MD
Professor Ozlem Evren Kemer MD is an internationally renowned expert in cataract, cornea, and anterior segment surgery and I have…
2798: this incision is really not good
In our video today a resident surgeon performs case number 88 which is actually pretty good but the incision is…
2797: Quiz: What is this after removing OVD?
Time for another CataractQuiz™ to test your skills (the full series for CataractQuiz™ can be found here). This patient undergoes…
2796: traumatic cataract with tough surprise
Happy New Year to the CataractCoach fans and family! Traumatic cataracts present a unique surgical challenge because the full extent…
2795: flipping the IOL causes a capsule break
An upside-down intraocular lens is a rare but serious intraoperative complication that requires prompt recognition and decisive management. When an…
2794: how to make a scleral tunnel incision
Clear corneal incisions have become the default entry point for routine phacoemulsification due to their simplicity, rapid healing and low…
2793: solar eclipse sign indicates zonulopathy
One of the most subtle yet important intraoperative clues to zonular weakness is the presence of a crescent-shaped, abnormally bright…
2792: Podcast 144: Rehan Ahmed MD
I first met Dr Rehan Ahmed more than 15 years ago when he was an ophthalmology resident at Baylor University…
2791: resident case 64 needs improvement
Let’s first say that the most important part of surgical learning is being receptive to learning. And if a young,…
2790: fibrotic anterior lens capsule
Managing a dense, brunescent cataract complicated by anterior capsule fibrosis requires careful modification of standard phacoemulsification techniques. The dense nucleus…
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…
2788: surgical treatment of blebitis
Blebitis is an infection involving a prior filtering bleb and it is a serious, sight-threatening complication demanding immediate, aggressive management…
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…
2786: from the smallest to the biggest
Yesterday on the CataractCoach Podcast (the top podcast in all of ophthalmology!) we featured Dr Rafael Vazquez Rojas from Mexico…
2785: Podcast 143: Rafael Vazquez Rojas MD
Teaching the next generation of ophthalmic surgeons is monumental task and it requires a teacher who has great surgical skill,…
2784: case 350 vertical chop for a resident
For a resident surgeon with about 350 cataract cases, adopting vertical chop is a natural progression toward greater efficiency and…
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…
2782: cannula ejection causes damage
A 27-gauge cannula can be inadvertently ejected from a pressurized syringe during cataract surgery when excessive force is applied to…
2781: sudden choroidal hemorrhage
Managing a sudden choroidal hemorrhage during this Boston K-Pro surgery requires immediate control of intraocular pressure and rapid stabilization before…
2780: VIP patient with PXF and IFIS
In this case I need to perform cataract surgery in a VIP patient with a 4 mm pupil, blue iris,…
2779: capsule split with posterior polar
When a posterior capsule split occurs during surgery for a posterior polar cataract, the priority is to preserve the anterior…
2778: Podcast 142: Francis Price MD
I wish I heard this podcast when I was a younger surgeon, still in my first few years of practice.…
2777: case 174 shows good progress but…
Cataract surgery case 174 often sits squarely in the “danger zone” of surgical learning because the new surgeon has accumulated…
2776: pre-existing posterior capsule rupture
Cataract surgery in an eye with a posterior capsule rupture from a prior intravitreal injection requires careful preoperative planning and…
2775: cortical pre-aspiration before phaco
Cortical pre-aspiration prior to phacoemulsification is a useful strategy for reducing lens mobility and improving surgical control before nucleus removal.…
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…
2773: global zonular laxity and weakness
Our guest surgeon, Dr Sergio Kwitko from Brazil, is superbly talented at complex anterior segment surgery and he presented this…
2772: nanophthalmic eye with astigmatism
This is a complete cataract case, shown start to finish, where I perform the entire surgery and present it to…
2771: Podcast 141: Jerman Alqahtani MD
The first time I met Dr Jerman Alqahtani was about 20 years ago at a wetlab session at the ASCRS…
2770: first ever posterior capsule rupture
This complication happens to 100% of cataract surgeons: the posterior capsule ruptures during phaco and now you must complete the…
2769: first time using capsular tension ring
Using a capsular tension ring for the first time requires a deliberate, unhurried approach and a clear understanding of zonular…
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…
2767: removal of glaucoma seton footplate
This is a complex case where a patient with anirida and multiple other ocular issues underwent placement of a kerato-prosthesis…
2766: Hey Uday, why the baby rhexis?!?!
One of the most common sayings here on CataractCoach.com is, “Don’t make a baby rhexis!” because a small capsulorhexis will…
2765: phaco with intra-corneal ring segments
Managing cataract surgery in an eye with prior corneal intra-stromal ring segments, such as Intacs, requires careful preoperative evaluation and…
2764: Podcast 140: Joaquin De Rojas
Our guest surgeon is Dr Joaquin De Rojas, an up and coming star in the ophthalmology world who reminds us…
2763: you should be here after 1200 cases
After completing 1,200 cataract surgeries, a surgeon is typically considered experienced and should demonstrate a mature level of surgical judgment,…
2762: pinhole pupilloplasty in corneal trauma
Dr. Amar Agarwal’s pinhole pupilloplasty offers an elegant optical solution for patients with severe corneal scarring, where traditional refractive correction…
2761: operating on an eye with nystagmus
If you are an expert cataract surgery with thousands upon thousands of cases of experience, you may be tempted to…
2760: standing Ahmed glaucoma valve
This patient has multiple systemic medical issues and cannot lie supine for ophthalmic surgery. In this case the patient needs…
2759: brunescent cataract cross chop
The cross-chop pre-chop technique is particularly advantageous when managing a dense brunescent cataract, where conventional divide-and-conquer or single-plane chopping may…
2758: three great cataract surgery secrets
Three “Secret” Cataract Surgery Maneuvers These Subtle Techniques Enhance Control, Visibility, and Safety Cataract surgery has undergone remarkable refinement over…
2757: Podcast 139: Abhay Vasavada MD
Dr Abhay Vasavada is a renowned surgeon, pioneer, and educator who has changed the way we approach complex cataract cases.…
2756: unedited resident case takes 28 min
We try to feature a resident surgery case every week so that our younger colleagues can learn the basics. I…
2755: split bag without a vitrector available
This patient has a posterior polar cataract and our guest surgeon is operating in an environment that does not have…
2754: Monocular patient with a surprise
Our guest surgeon does a great job of managing surprise zonulopathy encountered during cataract surgery in this monocular patient. Discovering…
2753: gonio-synechio-lysis in clinic & OR
Performing goniosynechiolysis at the slit lamp can be effective for selected eyes with peripheral anterior synechiae (PAS) following angle closure.…
2752: Quiz: Why is the IOL dropping?
Our anonymous surgeon thinks that the case is going beautifully but then with IOL insertion, the entire IOL starts dropping…