Case 4. We had an amazing turnout at our Best of Cataract Coach instructional course at the ASCRS meeting in Boston on 6 April 2024. Professor Dhaliwal and Professor Braga-Mele were our expert panelists who brought so much great insight into our program. We are thankful for great audience participation and support. We will feature each of the 8 challenging cases one at a time over the coming days here on Cataract Coach in order to distribute this knowledge to all of our fans across the globe. If you want the full 90 minute session uninterrupted, it will be shown in its entirety on May 18. Tha ..read more

Case 3. We had an amazing turnout at our Best of Cataract Coach instructional course at the ASCRS meeting in Boston on 6 April 2024. Professor Dhaliwal and Professor Braga-Mele were our expert panelists who brought so much great insight into our program. We are thankful for great audience participation and support. We will feature each of the 8 challenging cases one at a time over the coming days here on Cataract Coach in order to distribute this knowledge to all of our fans across the globe. If you want the full 90 minute session uninterrupted, it will be shown in its entirety on May 18. Tha ..read more

Case 2. We had an amazing turnout at our Best of Cataract Coach instructional course at the ASCRS meeting in Boston on 6 April 2024. Professor Dhaliwal and Professor Braga-Mele were our expert panelists who brought so much great insight into our program. We are thankful for great audience participation and support. We will feature each of the 8 challenging cases one at a time over the coming days here on Cataract Coach in order to distribute this knowledge to all of our fans across the globe. If you want the full 90 minute session uninterrupted, it will be shown in its entirety on May 18. Tha ..read more

I would bet that no other ophthalmologist has performed cataract surgery for more Academy Award® nominees and winners than me (The Oscars®). Forgive this bit of a humble brag, but the truth must be told when so many surgeons tout their celebrity endorsements. The fact is that the actual real celebrities do not wish to have their health information publicized. More so, these actors and actresses know a lot about acting but virtually nothing about cataract surgery. Tell me how many fellow eye surgeons have chosen you for cataract surgery on their own eyes and I will be far more impressed. Don’t ..read more

Yesterday’s podcast featured an amazing surgeon and guest: Dr Analisa Arosemena who talked about her technique of performing a simplified implantation of an Ahmed glaucoma valve seton by using tissue glue instead of sutures. This was new to me so I asked that she provide a video which we are happy to present here. This technique truly simplifies the implantation of the Ahmed valve seton tube shunt and it makes the surgery far more efficient. I look forward to trying this technique in the near future. Please comment below if you have ever used tissue glue to perform this surgery. video link he ..read more

Dr Analisa Arosemena is an outstanding surgeon specializing in glaucoma surgery and very challenging cataract cases. She has an incredible energy and on the podium she is a natural key opinion leader. In this hour long podcast, I learned so much about her approach to treating glaucoma including offering the full spectrum of options. After a year treating underserved populations in Panama, she moved to Florida in 2006, where she found the perfect balance between a challenging ophthalmology practice and indulging in her passion for outdoor activities such as scuba diving. Embracing new technolo ..read more

The double rhexis technique means that we first perform a smaller capsulorhexis in order to safely decompress the capsular bag and then we enlarge this to the desired size by doing a second capsulorhexis. This helps to prevent errant capsular run-out which is often called the Argentinian Flag Sign. Our guest surgeon does a great job with this tough case and ends up with a perfect capsulorhexis. video link here ..read more

Our guest surgeon here is a resident who is doing a great job of horizontal chop in this white cataract. Even though the capsulorhexis is smaller than I prefer, the intra-capsular chop technique is performed very well and in a safe and controlled manner. There is a surprise, however, during the surgery when there is some confusion as to what is happening with the capsule. In this video, I am watching the video for the first time with you so we can learn together. Let me know what you think is going on with the capsule by posting a comment below. video link here ..read more

Today we are featuring another great case of MSICS, what I refer to as Manual Shelved Incision Cataract Surgery, where a large incision is used to extract the nucleus whole. Our guest surgeon does a great job with this case and it is a reminder to my USA colleagues that we need to also learn this technique. There are cases where you will find that it is very useful, efficient, and safe for tough cataracts. Please do yourself a favor and make sure that you learn to perform MSICS. video link here ..read more

When performing classic phaco chop, we use the vacuum holding power of the phaco probe to fixate the nucleus while the chopper splits it. This works very well for most cataracts where the 400-500 mmHg of vacuum holding power is enough, but when the nucleus is very dense the force of the chopper can break the occlusion at the phaco tip and the purchase on the nucleus is lost. This becomes like trying to cut a piece of meat with just a knife and no fork to stabilize it. Our guest surgeon does technique where a central trench is made in the nucleus, similar to the phaco pit technique, the rotary ..read more