Episode #48: Fluidic Options During Phacoemulsification
In this case, I demonstrate how varying the vacuum setting from 400 to 600 mmHg affects the rate of quadrant removal during phacoemulsification.
- Published in 2019 Videos
Episode 47: Phacoaspiration and Trabecular Meshwork Bypass Stent Injection Techniques
Phacoaspiration (no ultrasound) of a nuclear cataract with IOL insertion is performed in a 64 year old patient, followed by trabecular meshwork bypass stent injection. A second example of stent injection in another patient is also shown.
- Published in 2019 Videos
Episode 46: Stabilizing the Nucleus
While performing phacoemulsification on a dense nuclear cataract in a 91 yo, one-eyed, Flomax patient, the nucleus is observed to shift somewhat posteriorly. During the remainder of this complex procedure I demonstrate techniques that can be used to increase safety as the remaining nuclear and cortical material are successfully removed prior to implantation of a capsular tension ring and toric IOL.
- Published in 2019 Videos
Episode 45: Pupil Repair in a Patient with Recurrent Iritis

In this case I perform sutured iridoplasty to reduce the size of an enlarged pupil using the Siepser technique to alleviate debilitating glare in a pseudophakic eye with recurrent iritis.
- Published in 2019 Videos
Episode 44: The Young Patient: Challenges During Cataract Surgery
This 38 year old patient has, for his age, an incredibly dense posterior subcapsular opacification. In this case I discuss several pearls for performing cataract surgery on a rather young, semi-conscious patient.
- Published in 2019 Videos
Episode 43: Modified Yamane Technique
In one of our most requested videos, I use a modified Yamane technique for scleral fixation of a posterior chamber IOL.
- Published in 2019 Videos
Episode 42: Posterior Subcapsular Cataract
This patient developed a dense posterior subcapsular cataract following retinal detachment surgery. Here I demonstrate how to remove a thick epithelial layer from the posterior capsule and discuss anterior chamber depth in post-vitrectomized eyes.
- Published in 2019 Videos
Episode 41: Controlling Floppy Iris and Zonular Laxity with Capsule Retractors
An 80 yo Flomax patient with severe zonular laxity can present a number of challenges during cataract surgery. Here I demonstrate how the proper use of capsule retractors makes the case safer for the patient and easier for the surgeon.
- Published in 2019 Videos
Episode 40: A Systematic Approach to a Difficult Eye
When the goal is to implant a toric IOL in an eye with recurring bouts of uveitis, poster synechiae, an extremely shallow chamber and a previous iridectomy, a step-by-step approach is required. Here I demonstrate my approach including a pars plana vitrectomy to first deepen the anterior chamber.
- Published in 2019 Videos
Episode 39: My Standard Procedure
After posting so many complicated cases, I thought it may be time to review my standard procedure with this one-eyed patient showing some slight macular degenerative changes. Leaving this patient myopic for better reading vision quality, my chopping technique, settings, and the benefits of vacuuming the posterior capsule are all discussed.
- Published in 2019 Videos
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