If you know a variety of different phaco techniques, it is easy to switch gears and shift to something that is more efficient. This patient has a soft cataract and an attempt to chop it does not succeed. That is no problem at all because I can instantly switch to an alternate technique. Here I switch to the tilt-and-tumble technique that I learned from Dr. Dick Lindstrom, a mentor to me for many years. This makes the case very efficient and it is done with minimal ultrasound energy and low fluidic volume in under 5 minutes.
click to learn how to switch gears and change techniques when the nucleus is too soft to chop: