A. END OF FIRST YEAR - BEGINNER

• 1.Name and use of each instrument in cataract tray

• 2. Describe steps in cataract surgery

  • a.Simple Strategies for Safer Cataract Surgery

  • b.Manual of Cataract Surgery

  • c.Phacodynamics: Mastering the Tools and Techniques of 

  • d.Mastering Phacoemulsification: A Simplified Manual of Strategies for the Spring, Crack, and Stop & Chop Technique
  • e.The Moss Technique for Draping
  • f. Orbis Phacoemulsification Training Course
  • g.AAO Videos: Steps of Phacoemulsification
  • h.Divide and Conquer Nucleofractis Phacoemulsification
  • i.Chip and Flip Phacoemulsification
  • j. The Veronica Technique for Draping
  • k. Povidone-iodine prep
  • l.  How to drape
  • m. Peristaltic versus venturi pumps
  • n. Effect of phaco needle size on flow with peristaltic versus venturi pumps

3. Prepare IOL for injection

• a. The Unfolder Sapphire Series with Sensar IOLs – Allergan

• b. The Unfolder Silver and Gold Series Implantation Systems – Instructions for Use – Allergan

• c. Unfolder Silver Implantation System

• d. Unfolder Emerald Implantation System

• e. Emerald Implantation Tecnis 1-Piece

• f. Ultra Implantation Tecnis 1-Piece

• g. Monarch II IOL Delivery System – Closed-System Delivery – Acrysof

• h. Monarch II IOL Delivery System – One Step, In-the-Bag Implantation Using Single Piece IOL – Acrysof

• i. Incision and Cartridge Sizes I

• j. Incision and Cartridge Sizes II

• k. IOL Wound Assisted Injection I

• l. IOL Wound Assisted Injection II

• m. Folding Intraocular Lenses with Forceps

• n. IOP and IOL Injection

• 4. Set up and use microscope, function of knobs

  • a. Focusing the surgical microscope

• 5. Place, ties, and bury knot, single 10-0 nylon suture

  • a.Handling Needles and Sutures

  • b.Needles, Sutures, and Instruments

  • c.Knot-Tying Principles and Techniques

  • d.Eisner - Eye Surgery

  • e.Shoelace Suture 1

  • f.Shoelace Suture 2

  • g. Microsurgical Suturing Techniques

  • h. Ophthalmic Microsurgical Suturing Techniques, Marian S. Macsai (Ed.)

  • i. Needles and sutures details

  • j. Terry slip knot

• 6. Discuss timing, technique, complications YAG / posterior capsulotomy

  • a.A Prospective Study of Cystoid Macular Edema after NeoDymiun: YAG Laser Posterior Capsulotomy

  • b.NeoDymium: YAG Lasers – An FDA Report

  • c.National Outcomes of Cataract Extraction – Increased Risk of Retinal Complications Associated with Nd:YAG Laser Capsulotomy

  • d.Rhegmatogenous Retinal Detachment after YAG Laser Posterior Capsulotomy

  • e.Incidence of Retina Detachment after Cataract Surgery and NeoDymium: YAG Laser Capsulotomy

  • f.Diagnostic and Surgical Techniques: Use of Nd:YAG Laser Capsulotomy

  • g.Axial Myopia Increases the Risk of Retinal Complications after NeoDymium – YAG Laser Posterior Capsulotomy

  • h.Risk Factors for Retinal Detachment after Cataract Surgery – A Case Control Study

  • i.Prevention of the Rise in Intraocular Pressure Following NeoDymium-YAG Posterior Capsulotomy Using Topical 1% Apraclonidine

  • j.Lens and Cataract: Capsular Opacification and Contraction

  • k.The Effect of Polymethylmethacrylate, Silicone, and Polyacrylic Intraocular Lenses on Posterior Capsular Opacification 3 Years after Cataract Surgery

  • l.NeoDymium-YAG Laser for Posterior Capsulotomy

  • m.A Systematic Overview of the Incidence of Posterior Capsule Opacification

  • n. Nd:YAG laser posterior capsulotomy

  • o. Teaching Yag laser capsulotomy

  • p. IOL design and posterior capsule opacification 

  • q. Posterior capsule opacification: A review

  • r. Posterior opacification incidence and yag rates for ZCB00 and SA60AT

  • s. Factors for posterior capsule opacification after phacoemulsification

  • t. Capsular block syndrome

  • u. Capsule apposition to IOL

  • v. Capsule Bend Formation 1

  • w. Capsule Bend Formation 2

  • x. Posterior capsule opacification and square edge IOL

  •  y. Retinal detachment after uncomplicated phaco and yag capsulotomy

  • z. Rate of retinal detachment after phaco and yag capsulotomy

  • aa. Resident performed yag capsulotomy

• 7. Setup YAG

  • a.Lasers in Ophthalmic Surgery

• 8. Perform YAG / posterior capsulotomy

• 9. Prep and drape for cataract surgery

  • a.Manual of Cataract Surgery

  • b.Povidone - Iodine Allergy 1

  • c.Povidone - Iodine Allergy 2

  • d. Allergy to Povidone-Iodine and Cephalosporins: The clinical dilemma in ophthalmic use

  • e. Providone-Iodine use as ophthalmic surgical prep antiseptic in patients with reported iodine sensitivity

  • f. Prep and drape for surgery

• 10. Scrub tech for third year resident

• 11. Wet-lab suturing, incisions, phaco, IOL injection

  • a.The Unfolder Sapphire Series with Sensar IOLs – Instructions for Use – Allergan

  • b.Unfolder Emerald Series Implantation System – Loading Instructions –AMO

• 12. Practice Capsulorhexis and Cataract Surgery Using Pig Eyes

  • a.Teaching Pig Eye Capsulorhexis

  • b.Creating Cataract in a Pig Eye 1

  • c.Creating Cataract in a Pig Eye 2

  • d.Creating Cataract of Varying Hardness to Practice ECCE & Phaco

  • e.Pig eye capsulorhexis and cataract

• 13.Optimizing Resident Education

  • a.Optimizing Resident Education in Cataract Surgery

  • b. Establishing a Wet-Lab

  • c. Virtual Mentor
  • d. Teaching residents cataract surgery
  • e. Fundamentals for training eye surgeons

• 14. Surgical Training of Ophthalmology Residents

  • a.Intraop Phaco Complications Left-handed Residents

  • b.Intraop Phaco Complication Rates of 2nd and 3rd Year Residents

  • c. Risk Factors for Intraop Complications Resident Phaco

  • d. Resident Phaco Learning Curve

  • e. Subjective Difficulty Learning Phaco

  • f. Resident Phaco in Tamsulosin Patients

  • g. Survey Resident Surgical Competency

  • h. Resident Perception Preparation for Practice

  • i. In the Wake of a Shake

  • j. Learning to use the non-dominant hand

  • k. Dreyfus Model of Adult Skill Acquisition
  • l. Assessing surgical technique of capsulorhexis: Evaluation tool
  • m. Cataract surgical training and operating room efficiency 

B. END OF SECOND YEAR – ADVANCED BEGINNER

• 1. Perform five uncomplicated phaco < 45 minutes using two hands

• 2. Describe anatomy for regional anesthesia, retrobulbar, and peribulbar

  • a.Anatomic Considerations in Ophthalmic Anesthesia

  • b.Injectional Orbital Anesthesia for Cataract Surgery

  • c.Anesthesia for Cataract Surgery

  • d.Topical / Intracameral Anesthesia for Cataract Surgery

  • e.Topical with and without Intracameral Lidocaine

  • f.Topical versus Topical and Intracameral

  • g.No Anesthesia Surgery

  • h.Allergy to Local Anesthetics

  • i.Anesthetic Allergy

  • j.Injectable versus Topical Anesthesia for Cataract Surgery

  • k.Is Propofol Sedation Needed?

  • l.Adverse Medical Events with Anesthesia in Cataract Surgery

  • m. General anesthesia and dementia in the elderly 

  • n. Anesthesia and dementia 

  • o. Postoperative cognitive dysfunction in the elderly 

  • p. Cataract surgery and reduced risk of dementia

  • q. Retrobulbar injection 

  • r. Retrobulbar anesthesia

• 3. Perform regional anesthesia

• 4. Describe anatomy of lens, capsule, zonules, sulcus

  • a.The Relationship between the Stretching Capability of the Anterior Capsule and Zonules

  • b.Analysis of Zonular-Free Zone and Lens Size in Relation to Axial Length of Eye with Age

  • c.Ciliary Sulcus Anatomical Dimensions

  • d.The Elastic Properties of the Lens Capsule in Capsulorhexis

  • e.Lens Anatomical Principles and their Technical Implications in Cataract Surgery Part I: The Lens Capsule

  • f.Ideal Size of an Intraocular Lens for Capsular Bag Fixation

  • g. Lens Capsule Thickness

  • h. Lens Anatomy Fig. 6

  • i. Ciliary Sulcus Diameter

  • j. Posterior zonules and anterior vitreous attachment

  • k. Ciliary Sulcus Anatomy

  • l. Lens anatomic princples and their technical implications in cataract surgery. Part II The lens nucleus

• 5. Signs of weak zonules or posterior capsule rupture

  • a.How to Avoid a Dropped Nucleus; Recognizing and Managing Posterior Capsule Rupture

  • b.Conquering Capsule Complications

  • c.Fate of Anterior Capsule Tears During Cataract Surgery

  • d. Keys to Managing Weak Zonules
  • e. Reverse optic capture after posterior capsule rupture

• 6. Extracapsular cataract extraction

  • a.Small Incision Cataract Surgery (manual and video library)

  • b.Small Incision Cataract Surgery (video)

  • c.Himalayan Cataract Project: Non-Phaco Sutureless Surgery (video)

  • d.Conversion to Extracapsular Cataract Extraction from Topical Clear Cornea (Section 4: Posterior Capsule Challenges, pp. 17-20)

• 7. Techniques for Hyrdodissection & Hydrolineation

  • a.Tips for Safe and Effective Hydrodissection

  • b.ASCRS: Six Tips on Hydrodissection Technique

  • c.Cortical Cleaving Hydrodissection

• 8. Describe biometry for IOL calculation

• a.Theoretical Approach to Intraocular Lens Calculation using Gaussian Optics

• b.Theoretical, Computer-Assisted Prediction Versus SRK Prediction of Postoperative Refraction after Intraocular Lens Implantation

• c.Comparison of Immersion Ultrasound Biometry and Partial Coherence Interferometry for Intraocular Lens Calculation According to Haigis

• d.Partial Coherence Laser Interferometry vs. Conventional Ultrasound Biometry in Intraocular Lens Power Calculations

• e.Increase A-scan Accuracy for Improved Outcomes

• f.Ophthalmic Ultrasound – Important Facts – Sonomed

• g.Cataract Extraction after Silicone Oil Repair of Retinal Detachments Due to Necrotizing Retinitis

• h.Intraocular Lens Calculation According to Haigis

• i.Holladay: A Three-Part System for Refining Intraocular Lens Power Calculations

• j.Development of the SRK / T Intraocular Lens Implant Power Calculation Formula

• k.Comparison of the SRK /T Formula and Other Theoretical and Regression Formulas

• l.Posterior Corneal Curvature and its Influence on Corneal Dioptic Power

• m.The Holladay II Formula for Long and Short Eyes

• n.Optics of the Eye with Air or Silicone Oil

• o.Accuracy of the Newer Generation Intraocular Lens Power Calculation Formula in Long and Short Eyes

• p.Theoretical Versus SRK I and SRK II Calculation

• q.IOL Intraocular Lens Power Calculations. Advanced A-Scan Techniques

• r.A-Scan Axial Length Measurements

• s.Intraocular Lens Power Calculations, Dr. Shammas

• t.Calculation of Intraocular Lens Power: A Review

• u. Immersion Ultrasounds Biometry vs. IOLMaster Biometry

• v. Haigis IOL Power Calculations

• w. Haigis-L

• x.IOL calculations after refractive surgery

• y. IOL power calculations after myopic LASIK

• z. IOL calculations

• aa. +3.50 diopters surprise after phaco and pcIOL and IOL calculations

• bb. IOLMaster and different formulas for short axial lengths

• cc. Optical biometry and IOL calculations with different formulas for different axial lengths

• dd. Optimizing IOL calculations in eyes with axial lengths greater than 25 mm

• ee. IOL Calculations using the IOLMaster in eyes with long axial lengths and various formulas
• ff. Comparison of 9 IOL calculation formulas 
• gg. IOL power calculation for eyes with axial lengths greater than 26 mm

• hh. Prediction accuracy of IOL formulas 

• ii.Which IOL formula should you use?

• jj. Swept-source OCT for IOL calculation 

• kk. The importance of effective lens position (ELP)

• ll. Barrett Universal Formula

• mm. IOL calculation accuracy 7 formulas

• nn.  IOL power calculation in short eyes

• 9. Current Status of IOL Formulas
• a. Classifying IOL calculation formulas
• b. Pursuing perfection in IOL calculation. Measurement Foibles
• c. Criteria for analyzing IOL calculation outcomes
• d. Ray Tracing
• e. Ray Tracing for IOL Power Calculation

• 10. Difficult IOL Calculations

  • a. When to repeat IOLMaster measurements

  • b. IOL calculations in eyes with axial lenghts greater than 25 mm

  • c. Posterior corneal astigmatism

  • d. Measure twice, cut once

  • e. IOL calculations in axial myopia

  • f. Cataract surgery in eyes with prior refractive surgery

  • g. Refractive outcomes after phacovitrectomy

  • h. Refractive outcomes of combined phacovitrectomy and delayed cataract surgery in retinal detachment

  • i. Refractive outcomes after phacovitrectomy

  • j. Pterygium and IOL Calculation

• 11. Diagnosing and Treating Dry Eyes Prior to Cataract Surgery
  • a.Diagnosing dry eye

  • b.Leveling the ocular surface disease playing field

  • c.Treating dry eye

  • d.Impact of dry eye on patient satisfaction

  • e.Deciphering dry eye therapies

  • f. Dry eye screening improves outcomes

  • g.Treating dry eye in cataract surgery patients

  • h.Meibomian gland dysfunction definition and classification

  • i.Meibomian gland dysfunction diagnosis

  • j.Meibomian gland dysfunction management and treatment

  • kGuide to Diagnosis and Treatment. Dry Eye Disease

  • l. Neuro-anatomic integration of the ocular surface

  • m. Blepharitis: The cause guides the treatment.
  • n New punctal plug placement technique
  • o. Diagnosing and treating dry eye

• 12.IOL calculation with silicone oil

  • a.silicone oil cataract 1

  • b.silicone oil cataract 2

  • c.silicone oil cataract 3

  • d.silicone oil cataract 4

  • e.silicone oil cataract 5

  • f.silicone oil cataract 6

  • g.silicone oil cataract 7

  • h.silicone oil cataract 8

  • i.silicone oil cataract 9

• 13. Describe anterior vitrectomy

  • a.Miyake Analysis of Anterior Vitrectomy Techniques

  • b.Anterior Vitrectomy Aids Cataract Surgery Complications

  • c.Anterior Vitrectomy Technique

  • d.Viscoat Trap

  • e. Communicating to the patient unplanned vitreous loss

• 14. Describe use of capsular dye

  • a.Capsular Staining: Recent Developments

  • b.Trypan Blue Capsule Staining to Visualize the Capsulorhexis in Cataract Surgery

  • c.Staining of the Lens Capsule for Circular Continuous Capsulorhexis in Eyes with White Cataract

  • d.Effect of Trypan Blue Staining on the Density and Viability of Lens Epithelial Cells in White Cataract

  • e.Biomechanical Changes in the Anterior Lens Capsule after Trypan Blue Staining

  • f.Human Anterior Capsule and Trypan Blue

  • g.Anterior Capsule Staining Techniques

  • h. Figures 1, 2

  • i. Trypan Blue and Capsule Rigidity and Strength

• 15. Describe physics of capsulorhexis

  • a.Physics of Capsulorhexis

  • b.Little Capsulorhexis Tear-Out Rescue

  • c.Capsulorhexis rescue after peripheral tear-out

  • d.Rhexis goes out late
  • e. Single radial tear in rhexis

• 16. Describe physics of clear corneal incisions with keratomes

  • a.Operations on the Cornea and Sclera

  • b.The Cataract Incision

  • c.Profile of Clear Corneal Cataract Incisions Demonstrated by Ocular Coherence Tomography

  • d. Clear Corneal Knives

  • e. Trapezoid blades

  • f. Phaco incision keratomes

  • g. Side-port blades

  • h. Integrity of Clear Corneal Incisions Using OCT

  • i.OCT Documented Clear Corneal Incisions Used for Bimanual MICS

  • j. Incision angle of CCI

  • k. Strength or sclerocorneal and CCI

  • l. Incision construction

  • m. Incision construction video by Jay Meyer, MD.

  • n . Incision construction issues

  • o. Iris prolapse

  • p. Endophthalmitis and Clear Corneal Incisions

  • q. What is a marginal clear corneal incision?

  • r. Microincisions in cataract surgery

  • s. Incision construction

  • t. Beaver-Visitec keratomes

• 17. Phacodynamics – Seibel

  • a.Divide and Conquer – Section 3

  • b.Removal of Cortex – Section 4

• 18. Understand coding for cataract surgery including complex and anterior vitrectomy

  • a.Cataract in the Adult Eye

  • b.Coding Correctly for Complex Cataract Surgery

  • c. Non-covered services associated with cataract surgery

• 19. Describe clinical grading of cataracts, nuclear, posterior subcapsular, cortical

  • a.Cataract Types

  • b.Patient Selection

  • c.Lens Opacities Classification System III (LOCS III)

  • d. LOCS III

  • e.Biomicroscopy of the Eye II: Slit Lamp Microscopy of the Living

• 20. Dense and Mature Cataracts, Affect on Pupil Response in Contralateral Eye

  • a.Dense Cataract and RAPD in Contralateral Eye

  • b.Mature Cataract and RAPD in Contralateral Eye

  21. Grading of anterior segment inflammation

  • a. Anterior Uvetis

  • b. Classification of uveitis

• 22. Corneal endothelial cell loss and phacoemulsification

  • a. Bimanual Microincision Phacoemulsification and Corneal Endothelial Cell Loss

  • b. Cataract Surgery and Fuchs' Recommendations

  • c. Endothelial Cell Loss - Divide and Conquer vs. Chop

  • d. Endothelial Cell Loss and Nuclear Density

  • e. Endothelial Cell Loss and Phacoemulsification Parameters

  • f. Endothelial Cell Loss and Biaxial Surgery Torsional vs Longitudinal

  • g. Endothelial Cell Loss: Divide and Conquer vs Chop

• 23. Posterior Vitreous Detachment and Retinal Detachment After Phacoemulsification

  • a. PVD and RD after phaco

  • b. Pseudophakic retinal detachment after posterior capsule rupture 

• 24. Phacoemulsification Needles, Sleeves, and Wound Size

  • a.Phaco Needles and Sleeves

  • b.Back to the straight phaco tip

• 25. Hydration of Incisions

  • a. Stromal hydration of clear corneal incisions

  • b. Improving stromal hydration of clear corneal incisions

  • c. Clear corneal incision construction

  • d. Wong incision with video

• 26. Non-steroidals and macular thickness After Phacoemulsification
• a. Nepafenac, VA, CMA and Routine Phacoemulsification
• b. Nepafenac, Ketorolac, CME in Routine Phacoemulsification
• c. Meta analysis of prevention of postop macular thickness
• d. Nepafenac + dexamethasone vs dexamethasone + placebo
• e. OCT macular thickness after phaco, NSAID vs no NSAID
• f. Incidence of Cystoid Macular Edema after Uncomplicated Phacoemulsification
• g. Impact of nepafenac 0.1% on macular thickness and postoperative visual acuity after cataract surgery in patients at low risk for cystoid macular oedema
• h. Risk Factors and Incidence of Macular Edema after Cataract Surgery A Database Study of 81984 Eyes
• i. European multicenter trial of the prevention of cystoid macular edema after cataract surgery in nondiabetics ESCRS PREMED study report 1
• j. Randomized controlled European multicenter trial on the prevention of cystoid macular edema after cataract surgery in diabetics ESCRS PREMED Study Report 2
• k. Comparison of ketorolac 0.4% and nepafenac 0.1% for the prevention of cystoid macular oedema after phacoemulsification prospective placebo-controlled randomised study
• l. Cystoid macular edema after femtosecond laser-assisted versus phacoemulsification cataract surgery
• 27. Big Data and Cataract Surgery
• a. Risk Factors and Incidence of Macular Edema after Cataract Surgery: A Database Study of 81984 Eyes
• b. Previous Intravitreal Therapy Is Associated with Increased Risk of Posterior Capsule Rupture during Cataract Surgery.
• c. United Kingdom National Ophthalmology Database Study of Cataract Surgery: Report 3: Pseudophakic Retinal Detachment
• d. The Cataract National Dataset electronic multicentre audit of 55567 operations: risk stratification for posterior capsule rupture and vitreous loss
• e. Big Data Cataract Summary 

C. END OF THIRD YEAR – PROFICIENT

• 1. Five uncomplicated phacos < 30 minutes using two hands

• 2. Describe Himalayan cataract surgery technique for extracapsular surgery

  • a.Low-Cost High-Volume Extracapsular Cataract Extraction with Posterior Chamber Intraocular Lens Implantation in Nepal

  • b.An Innovation in Developing World Cataract Surgery: Sutureless Extracapsular Cataract Extraction with Intraocular Lens Implantation

  • c. Modern small incision cataract surgery (Fred Hollows Foundation)

• 3. Describe OVD selection, properties

  • a.What You Need to Know About Viscoelastics

  • b.Removal of Viscoelastic Materials after Experimental Cataract Surgery in Vitro

  • c.Healon5 Viscoadaptive Formulation: Comparison to Healon and Healon GV

  • d.Classification of OVDs

  • e. Understanding OVDs

  • f. Two-compartment technique to remove Healon5

  • g. Arshinoff AAO 2012

  • h. Understanding the full spectrum of OVDs

  • i. Ophthalmic viscosurgical system

  • j. Burp and rock and roll to move OVD

  • k. Tri-soft Shell Technique

  • l.. Postop IOP and Healon5 and Viscoat

  • m. Postop IOP and Healon5 and four other viscoelastics

  • n. Postop IOP and four viscoelastics

  • o. Understanding, retaining, and removing OVDs

  • p. IOP and Healon, Healon5, and Healon GV

  • q. Understanding OVDs

  • r. OVDs and safer cataract surgery

  • s. OVD cheat sheet

  • t. Dr. Arshinoff's Rock' N Roll techique to remove OVDOVD removal techniques (Dr. Arshinoff) 

  • u. OVD removal techniques (Dr. Arshinoff) 

  • v. Use of OVD in ophthalmic surgery

  • w. Using Ophthalmic OVDs to manage problems in cataract surgery

  • x. Healon 5 CDI

• 4. Describe IOL selection, material, size, one-piece, three-piece

  • a.Comparison of the Stability of the 1-piece and 3-piece Acrylic Intraocular Lenses in the Lens Capsule

  • b.Loop Memory of Haptic Materials in Posterior Chamber Intraocular Lenses

  • c.The Capsular Bag after Short- and Long-term Fixation of Intraocular Lenses

  • d.IOL centration 1

  • e.IOL centration 2

  • f. Glistenings
  • g. positive and negative dysphotopsia 
  • h. negative dysphotopsia
  • i. IOL surfaces and postoperative glare
  • j. edge glare and IOL designs
  • k. postoperative glare and IOL designs
  • l. Shedding light on dysphotopsias
  • m. Aspheric IOL selection
  • n. Aspheric IOL selection and wavefront topography
  • o. Management of negative dysphotopsia
  • p. Positive and negative dysphotopsias 2
  • q. IOL decentration and tilt
  • r. IOL material and design
  • s. History of the posterior chamber IOL 
  • t. Negative Dysphotopsia - A perfect storm
  • u. Preventative approach for negative dysphotopsia
  • v. IOL glistening size and visual acuity

• 5. Specialty Intraocular Lenses

  • a. Toric IOL

  • b. Astigmatism and Toric Intraocular Lenses

  • c. Tecnis Multifocal 1-Piece IOL

  • d. Optical Synergy

  • e. Optics of multifocal IOLs

  • f. Outcome of toric IOL after adjusting for ADC and IOL spherical equivalent

  • g. Toric IOL outcome using manufacturer's prediction of corneal plane spherical equivalent IOl cylinder power.

  • h. Review: Toric and multifocal IOLs

  • i. Benefits and Dangers of Blue Light

  • j. Practical Astigmatism Analysis

  • k. AMO Tecnis Toric Spec Sheet

  • l. Contribution of posterior corneal astigmatism to total corneal astigmatism

  • m.  Correcting astigmatism with toric IOLs and posterior corneal astigmatism

  • n. Astigmatism and meridian with total corneal power, simulated keratometry, and automated keratometry

  • o. Surgeons strive for refractive stability with no astigmatism after cataract surgery

  • p. Minimum amount of astigmatism that should be corrected

  • q. Glistenings in IOLs

  • r. Centering IOLs using Purkinje images

  • s. Ocular Fixation for centering IOLs using Purkinje images

  • t. Characterizing IOLs using Purkinje images

  • u. Purkinje images and IOL centration

  • v. Long term clinical outcomes of toric IOLs 

  • w. Toric IOL calculations and the posterior cornea

  • x. Centering corneal procedures: The line of sight

  • y. Corneal thickness profile and posterior corneal astigmatism in normal corneas

  • z. Extended range of focus IOL

  • aa. IOL surface glare and effect on visual acuity

  • bb. Preopertive atigmatic marking error for toric IOLs 

  • cc. Long term rotational stability of toric

  • dd. Low and moderate-high astigmatic correction with toric IOLs

  • ee. A New Method for analyzing vectors for changes in astigmatism

  • ff. Astigmatism analysis by the alpins method

  • gg. Adding and subtractin spherocylinders 

  • hh. Evaluating and reporting astigmatism data 

  • ii. Interpreting double angle vector plots

  • jj. Residual astigmatism after toric IOL implantation

  • kk. Toric IOL orientation and residual refractive astigmatism

  • ll. Symfony IOL optics 1

  • mm. Symfony IOL optics 2

  • nn. New toric IOLs

  • oo. Toric IOL orientation and residual refractive astigmatism

  • pp. Toric IOL and removing OVD 

  • qq. Clinical considerations of Symfony extended depth of focus IOL

  • rr. ASCRS 2016 Young Eye Surgeons Survey

  • ss. Callisto eye: Toric IOL Alignment

  • tt. Image-guided vs manual marking toric IOLs

  • uu. Incidence and outcomes of repostioning toric IOL

  • vv. Rotational stability of Acrysof and Tecnis toric IOLs

• 6. Intumescent Cataract

  • a. Continuous curvilinear capsulorhexis for intumescent cataract 1

  • b. Needle capsulorhexis for intumescent cataract

  • c. Adjunct devices for challenging capsulorhexis

  • d. What to do with the intumescent cataract?

  • e. 1 and 2 stage capsulorhexis in mature cataract

  • f. Classification of mature cataract

  • g. Phaco and mature cataract

  • h. Brazilian white cataract technique video

  • i. Phaco in intumescent mature cataract

  • j. Brazilian white cataract technique

  • k. A phaco surgeon's perspective of a white cataract

  • l. Capsule milking for intumescent cataract

  • m. Getting Rid of the Argentine Flag Sign

• 7. Anticoagulation and Cataract Surgery

  • a. Risks and Benefits of Anticoagulant and Antiplatelet Medication Use Before Cataract Surgery

• 8. Describe IFIS, pathophysiology, incidence management

• a.Intraoperative Floppy Iris Syndrome Associated with Tamsulosin

• b.The Intraoperative Floppy Iris Syndrome

• c.α₁-Adrenergic Receptor Antagonists and the Iris: New Mechanic Insights into Floppy Iris Syndrome

• d.α₁-Adrenergic Antagonists and Floppy Iris Syndrome: Tip of the Iceberg?

• e.ASCRS White Paper: Clinical Review of Intraoperative Floppy-Iris Syndrome

• f. Step wise management IFIS

• g. Managing intraoperative floppy iris syndrome

• h. David Chang, MD editorial ASCRS_AAO IFIS update

• i. Intraoperative floppy iris syndrome: ASCRS/AAO update

• j. Risk factors for intraoperative floppy iris syndrome 

• k. Intracameral ketorolac and phenylephrine effects on pupil diameter and postop pain

• 9. Understand phacoemulsifier settings

  • a.How to Set the Dials

  • b.Understanding Phacoemulsification. I. Principles of the Machinery

  • c.Infiniti System Metrics Screen: Phaco, Neosonix, Aqualase, Fluidics

  • d.Power Modulations

  • e.Fluidics and Power Modulation

  • f.Fluidics Comparison, Infiniti, Stellaris, and Signature

  • g.Signature Ellipse Whitestar

  • h. Signature Operator's Manual

  • i. Infiniti Operators Manual

  • j.Stroke Dynamics and Frequency of three Phacoemulsifiers

  • k.Settings for Transversal Phacoemulsification

  • l. Chamber Stabilization Environment (CASE) Signature

  • m. Settings for routine and complex phacoemulsification 

  • n. Optimizing machine settings for routine, complex, and femto phaco cases

  • o. FX definition

• 10. Understand phacoemulsifier output

  • a.Surge

• 11. Incision(wound) burn

  • a. Phacoemulsification Incision Thermal Contraction Incidence and Casual Relationships

  • b. Ultrasound Induced Corneal Incision Contracture Survey

  • c. Horizontal Suture for Management of Thermal Incision Injury

  • d. Incision (wound) gape, two closure (suture) techniques

  • e. December 2012 EyeNet Ophthalmic Pearls

  • f.  Preventing corneal burns during phacoemulsification

  • g. Closure technique for leaking incision from thermal injury

• 12. Perform IOL biometry with ultrasound and manual keratometry and IOL Master

• 13. Describe vertical and horizontal chopping techniques

  • a.Phaco Chop: Mastering Techniques, Optimizing Technology, and Avoiding Complications: Pearls for Hydrodissection and Hydrolineation

  • b.Learning Phaco Chop: Pearls & Pitfalls 2006

  • c.Stop and Chop Phacoemulsification

  • d.Phaco Chop: Mastering Techniques, Optimizing Technology, and Avoiding Complications

  • e. Learning Phaco Chop: Pearls & Pitfalls 2009

  • f. Phaco Tips for Longitudinal, Transversal, and Torsional Phaco Techniques

  • g. Learning Phaco Chop: Pitfalls & Pearls 2011

  • h. Y-Sign

  • i. Lens Fiber Orientation

  • j. Semi-crater and split technique phacoemulsification

  • k. Mechanical cortical cleaving hydrodissection

  • l. Phaco Chop and Advanced Phaco Techniques

  • m. Chopping techniques D. Michael Colvard, MD

• 14. Techniques for emulsification of hard cataracts

  • a.Ten Strategies for a Rock Hard Nucleus

  • b. Down Slope Sculpting

  • c. Crater & Chop

  • d. Stop, Chop & Stuff

  • e. Chop & Separation of Dense Cataracts

• 15.Techniques for emulsification of soft nuclei

  • a.Reduce power for Soft Cataract

• 16. Describe the use of iris expansion devices

  • a. Rings Versus Segments

  • b. Iris Hooks

    • 1.Flexible Iris Retractor – Alcon-Grieshaber – Instructions

    • 2.Flexible Iris Retractor – Alcon-Grieshaber – Serial Number

    • 3.Flexible Iris Retractor – Alcon-Grieshaber – Container

    • 4.K3-4970

    • 5.Phacoemulsification Using Iris Hooks and Scleral Fixation of the Intraocular Lens in Patients with Secondary Glaucoma Associated with Lens Subluxation

    • 6.Modified Technique Using Flexible Iris Retractors in Clear Corneal Cataract Surgery

  • c.Morcher Capsular Tension Rings – Normal, Myopic, Highly Myopic – Morcher GmbH

  • d. Malyugin Ring

  • 1.MST Microsurgical Technology

  • 2.Malyugin Ring for Small Pupil Phaco Cases

  • 3. How to insert and remove Malyugin ring

  • 4. How to insert and remove Malyugin Ring video 

  • e. Injector for Morcher Pupil Dilator – Geuder

• 17. Capsular tension rings

  • a.Capsular Tension Rings and Pseudoexfoliation

  • b.Implanting the Capsular Tension Ring

  • c.Capsular Tension Rings Versus Capsule Retractors

  • d.Cataract Surgery: Managing Weak Zonules

  • e. Geuder ctr use cleaning

  • f.The CTRs US Debut: The Progression of the Technology from Conception to FDA Approval

  • g.Capsular Tension Rings Warrant Caution

  • h.The Capsular Tension Ring: Indications for Use

  • i.Capsular Tension Rings: Who, When, How

  • j.How Endo Rings Can Help You

  • k.When and How to Use the Morcher Capsular Tension Ring

  • l.Management of Zonular Dialysis in Phacoemulsification and IOL Implantation Using the Capsular Tension Ring

  • m.Modified Endocapsular Ring Provides Support

  • n. Kaleidoscope eye 

• 18. Fate of anterior capsule radial tears

  • a.Anterior Capsulotomies & Radial Tears

  • b.Radial Tears & IOL Haptic Fixation

  • c.Late Dislocation of pcIOL

• 19. Dislocated Dense Cataract

  • a.Consultation 1

  • b.Consultation 2

  • c.Consultation 3

  • d.Consultation 4

  • e.Consultation 5

  • f.Consultation 6

  • g.Consultation 7

  • h.Consultation 8

  • i.Cionni Capsular Tension Ring

  • j. Traumatic Cataract and Endocapsular Tension Ring

  • k. MST Capsule Retractor

• 20. Understand anterior vitrectomy techniques

  • a.Anterior Vitrectomy Aids Cataract Surgery Complications

  • b.Posterior Assisted Levitation for Nucleus Retrieval Using Viscoat after Posterior Capsule Rupture

  • c.Posterior Capsule Rupture

  • d.Anterior Virectomy 1

  • e.Anterior Virectomy 2

  • f. Anterior Virectomy 3

  • g.Triesence

  • h. Using triamcinolone in the anterior chamber

  • i. Managing Residual Lens Material After Posterior Capsular Rupture

  • j. Unplanned vitrectomy

  • k. When the posterior capsule breaks

  • l. Tips for successful anterior vitrectomy

  • m. Managing posterior capsule rupture with posterior capsulorhexis

• 21. Management of the posteriorly dislocated nucleus

• a.Posterior Assisted Levitation in Cataract Surgery

• b.Posterior Assisted Levitation

• c.Posterior Assisted Levitation Long Term Follow-Up

• d.Posterior Assisted Levitation Outcomes

• e.Vitrectomy for Retained Lens Material

• f. Management of Retained Lens Fragments After Phacoemulsification

• g. Pars plana vitrectomy for management of retained lens material

• h. Management of retained lens fragments with and without pars plana vitrectomy

• 22. Retained Lens Fragments Anterior

• a. Clinical features of retained lens fragments in the anterior chamber

• 23. Cataract surgery after pars plana vitrectomy and/or intravitreal injections

  • a.Phaco After Vitrectomy

  • b.Results of Cataract Surgery After Vitrectomy

  • c. Phacoemulsification for post vitrectomy cataracts

  • d. Phaco after ppv. Pearls for the cataract surgeon

  • e. Phacoemulsification and posterior capsule rupture after intravitreal injections

• 24. Cataract surgery and ARMD

  • a.Cataract Surgery and ARMD - One Year Outcomes

  • b. Phaco and AMD

  • c. Effects of Cataract Surgery on Wet AMD

• 25. Lens Iris Diaphragm Retropulsion Syndrome

  • a. LIDRS

• 26. Aqueous Misdirection

  • a. Managing Aqueous Misdirection

  • b. Aqueous Misdirection During Cataract Surgery

  • c. Vitrectomy-Phacoemulsification-Vitrectomy

  • d. Acute intraoperative rock-hard eye syndrome

• 27. Cataract surgery and Fuchs' dystrophy

• a.Recommendations for Cataract Surgery with or without Keratoplasty

• 28. Pseudoexfoliation and Phaco
• a. Considerations for phacoemulsification in the presence of pseudoexfoliation

• 29. Describe anterior and posterior positive pressure

  • a.Positive Pressure

  • b.Positive Pressure Tricks

• 30. Describe issues and technique for IOL placement into sulcus

  • a.Issues for IOL Placement into the Sulcus

  • b.Secondary Placement of Posterior Chamber Intraocular Sulcus Fixed and Scleral Sutured

  • c.Sutured pcIOL

  • d. The Surgical Management of the Malpositioned IOL

  • e.Scleral Fixation (Reverse Scleral Pocket) Without Conjunctival Dissection

  • f.Scleral Pockets Sutured pcIOL(Video, Dr. Christopher Riemann, Cincinnati Eye Institute)

  • g.Scleral Pockets Sutured pcIOL(Video, Dr. Kenneth Cohen, UNC)

  • h.Scleral Fixation Using Suture Retrieval Through a Scleral Tunnel

  • i.Reverse Scleral Pocket for IOL Fixation

  • j.Reverse Scleral Pocket IOL Fixation and Iridoplasty:http://www.youtube.com/watch?v=O7BJEnJGHfQ

  • k. Anatomic study of scleral sutured IOLs

  • l. Sutureless intrascleral pcIOL y-fixation technique

• 31. Implantation of Anterior Chamber IOL

  • a. Implantation of Anterior Chamber IOL with Air Gonioscopy

  • b. Secondary Placement of Anterior Chamber Intraocular Lens

• 32. IOL Dislocations

• a. Management of late in-the-bag IOL dislocation

• b. Risk of late IOL dislocation

• c. Late dislocation of in-the-bag and out-of-the-bag IOLs

• d. Epidemiology of late in-the-bag IOL dislocation

• e. In-the-bag and out-of-the bag late IOL dislocations 

• f. Late in-the-bag IOL dislocation

• g. Pupillary capture of IOL optic 

• h. Pupil capture prevention and management

• i. Induced astigmatism due to IOL tilt

• 33. Reversed Optic IOL

  • a. Dioptric changes with reversed optic IOLs 

  • b. In situ tumbling of reversed optic 3-piece IOL 

  • c. Reversed optic biconvex IOL, 10 degree haptic angulation

• 34. Siepsor slipknot for iris repair & iris fixation of subluxated IOLs

  • a.Siepser Slipknot for McCannel Iris-Suture Fixation of Subluxated Intraocular Lenses

  • b. Modification of the Siepser Slip-knot Technique

  • c. Dr. Ahmed's iris suturing techniques

  • d. Siepser knot modified Garry Condon, MD

  • e. Iris suture pcIOL Ahmed

• 35. IOL Explantation

  • a.IOL Explantation 1

  • b. IOL Explantation 2

  • c. IOL Explantation 3

  • d. IOL Explantation 4

• 36. Techniques for posterior polar cataracts

• a.Minimizing Risk of Posterior Capsule Rupture

• b.Minimizing Risk of Posterior Capsule Rupture

• c.Bimanual Microphaco for Posterior Polar Cataracts

• d.Management of Posterior Polar Cataract

• e.Management of the Hard Posterior Polar Cataract

• f.A Case for Routine Phacoemulsification?

• g. Approaches to a posterior polar cataract, inside-out delineation

• h. Inside-out delineation

• 37. Cataract operation in the small eye 
• a. Cataract surgery in the small eye 
• b. Cataract surgery in the short eye 

• 38. Toxic anterior segment syndrome

  • a.Toxic Anterior Segment Syndrome Review / Update

  • b.Cleaning and Sterilizing Intraocular Instruments

  • c.Potential Cause of Toxic Anterior Segment Syndrome

• 39. Astigmatism management in cataract surgery

• a. Limbal Relaxing Incisions