Evaluating a cataract surgery performed by a beginner with approximately 60 cases of experience using the divide and conquer technique involves assessing both technical execution and intraoperative decision-making. Key indicators include the creation of a well-centered and appropriately sized capsulorhexis, stable wound architecture, and controlled hydrodissection without causing posterior pressure or capsular stress. During nucleus management, attention should be given to the depth and placement of the initial grooves—ideally deep enough to allow effective cracking without risking posterior capsule rupture. The ability to create clean quadrants and emulsify them with minimal corneal endothelial stress and chamber instability is critical. Assess for unnecessary instrument movements, excessive use of phaco power, or prolonged surgical time, which may indicate inefficient technique. In this case the resident does a pretty good job and I think it’s time to advance to stop-and-chop!
