OCSS Cataract Surgery Symposium

Expert Techniques for Superior Visualization in Cataract Surgery

Watch the Cataract Surgery Symposium replay to learn about red reflex, low-light benefits, and the Leica advanced visualization technologies.

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Summary

Join renowned ophthalmic surgeons Dr. Hussein Almuhtaseb and Mr. Simon Madge as they share their clinical expertise and real-world surgical strategies during the 2025 Online Cataract Surgery Symposium. From red reflex optimization to ergonomics, this session offers valuable insights for cataract surgeons at every level.

Key Learnings

  • Red reflex quality is critical for safe, precise cataract procedures. “Having a clear red reflex, as you know, is absolutely crucial. The more you can see, the safer the procedure.”
  • Low-light surgical environments reduce phototoxicity and improve patient experience “And those lower light levels are not only better for the patient's comfort, but also for the patient safety.”
  • Ergonomic surgical systems enhance surgeon performance and reduce physical strain “Shoulders down. You're nice and relaxed.”
  • Digital tools and visualization platforms are redefining the future of cataract surgery “And I'd also love to experience some 3D heads up display”

Highlighted cases included:

  • Standard cataract surgery
  • Multifocal IOL orientation
  • Combined phacovitrectomy in diabetic retinopathy
  • Trauma-induced cataract with zonular weakness 

Standard cataract surgery

A routine phacoemulsification procedure was completed without the need for refocusing. The red reflex remained stable throughout, supporting a continuous surgical flow. 

Video 1: Continuous focus, stable red reflex.

Multifocal IOL orientation

The orientation of a multifocal intraocular lens was guided by the visibility of concentric optical zones. The red reflex helped in confirming lens alignment.

Video 2: See the transition zone clearly: precise multifocal IOL alignment at every step.

Combined phacovitrectomy in diabetic retinopathy

Cataract removal was performed prior to vitrectomy in a patient with vitreous hemorrhage. The red reflex remained visible despite posterior segment opacity.

Video 3: From cataract to vitrectomy: Stable red reflex, seamless transition.

Trauma-induced cataract with zonular weakness

A case involving synechiae and capsular instability. Trypan blue was used to stain the capsule, and a capsular tension ring was inserted to stabilize the bag.

Video 4: Stabilize the lense capsule.

Expert roundtable

Watch the expert roundtable featuring Dr. Hussein Almuhtaseb and Mr. Simon Madge where they discussed how to enhance patient outcome and safety in cataract surgery - innovations and best practices. 

The surgeons explore how advanced visualization technologies and ergonomic surgical tools are transforming cataract surgery. They share real-world experiences and discuss how these innovations improve surgical safety, training efficiency, and surgeon wellbeing. 

Discussion highlights

  • Red reflex and surgical safety
  • Training benefits and team coordination
  • Ergonomics and surgeon wellbeing
  • The future of cataract surgery 

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