Phacoemulsification: An Easy Stop, Chop and Crack Technique

  • Rajen Gupta


The technique of ‘groove-and-crack’, coupled with the ability to debulk large fragments, is a useful method for tackling the majority of cataracts. However, as training progresses, surgeons may wish to develop the nucleus chopping method of creating fragments. A chop technique requires the phaco tip to be embedded the into the lens nucleus whilst the second instrument cleaves the lens nucleus apart. The original chop [1] has been adapted and refined into two chopping techniques, vertical and horizontal [2]. The vertical and horizontal phaco chop are advanced techniques, best attempted once Trainee surgeons have become highly skilled in standard methods.

Supplementary material

Video 12.1

(AVI 275812 kb)


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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Rajen Gupta
    • 1
  1. 1.Newcastle Eye Centre Royal Victoria InfirmaryNewcastle upon TyneUK

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