2959: this is proof that you must learn phaco chop
What does it take to finally transition from divide-and-conquer to phaco chop? This video features an anonymous resident surgeon executing the very first phaco chop of his career. Some early-career ophthalmologists make excuses or delay learning this technique because they fear posterior capsule rupture or lack confidence in handling the chopper instrument. This case serves as definitive proof that you can learn phaco chop early in your training if you understand the core mechanics. By properly embedding the phaco tip, utilizing high vacuum, and moving the chopper mechanically to split the nucleus, you can significantly reduce total ultrasound energy and corneal endothelial stress. The video breaks down the specific hand positioning, fluidics settings, and anatomical landmarks required to make your first chop a success. Watch the full surgical video to see how achievable this milestone is and to learn the step-by-step principles to master phaco chop.
