Phacoemulsification: An Easy Stop, Chop and Crack Technique
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  has been adapted and refined into two chopping techniques, vertical and horizontal . The vertical and horizontal phaco chop are advanced techniques, best attempted once Trainee surgeons have become highly skilled in standard methods.
(AVI 275812 kb)
- 1.Nagahara K. Phacochop film. Presented at: International Congress on cataract, IOL, and Refractive Surgery. Seattle, WA: ASCRS; 1993.Google Scholar
- 2.Chang DF. Converting to phaco chop: why and how. Ophthalmic Practice. 1999;17(4):202–10.Google Scholar
- 4.Dillman DM. Phaco quick chop. Operative Tech Cataract Refract Surg. 1998;1:55–60.Google Scholar