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Cataract Coach™

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Cataract Coach™: Cataract Coach™ – Professor Uday Devgan MD, renowned Los Angeles cataract surgeon, teaches the Best Techniques for Cataract, Glaucoma, Cornea & Refractive Surgery. All Content © 2018-2025 Uday Devgan Cataract Coach™

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Message History

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 enough experience to feel growing confidence, yet has not reached the level of nuanced, reflexive skill that protects against unexpected complications. By this stage, basic maneuvers like capsulorhexis, hydrodissection, and nucle...

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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 intraoperative adaptability. These cases often present with compromised capsular support, vitreous prolapse, and altered lens stability, all of which increase the risks of zonular stress and dropped nuclear material. This patient also ...

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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. By gently aspirating loose or partially separated cortical material early in the case, typically after capsulorhexis creation and hydrodissection, the surgeon creates space around the nuclear rim and decreases zonular ...

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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 lens (IOL). Because Gore-Tex is nonabsorbable and exhibits excellent tensile strength, it provides long-term security with minimal suture degradation compared with traditional polypropylene. The stoppe...

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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 great case at a recent conference. I was so impressed that I asked him for the video to present to our CataractCoach fans. This patient has global zonular laxity and frank phacodonesis with a dense cataract. The question is how to remove the nucl...

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