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2458: teach me the tilt and chop technique

There are many techniques for breaking up the nucleus and aspirating it with the phaco probe and ultrasonic energy. And a great surgeon should learn all of the techniques so that for each specific patient, the best choice can be made. If your only technique is divide and conquer, then how will you remove the cataract when it is all posterior sub-capsular with minimal nuclear sclerosis? For many of my patients, I prefer this tilt and chop technique where the nucleus is partially tilted out of the capsular bag and then safely and efficiently chopped into small pieces where are easily phaco-aspirated. This gives a very high degree of safety since we are not chopping in proximity to the posterior capsule. And it is very efficient and induces minimal post-op inflammation. Have you tried this technique? Please comment below.

video link here

https://youtu.be/CD5vGnVIWdk

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