3110: smooth horizontal chop technique
Learning the horizontal chop technique provides an efficient, low-energy solution for nuclear disassembly that all cataract surgeons should add to their repertoires. By passing the chopper equatorially under the anterior capsulorhexis rim and drawing it horizontally toward the phaco tip, the surgeon utilizes vector forces to split the lens along its natural lamellar planes. This mechanical division significantly reduces total ultrasound energy exposure, safeguarding the corneal endothelium and maintaining anterior segment stability throughout disassembly. Relying on precise instrument placement rather than high phaco power ensures smooth, controlled nuclear breakdown even in denser cataracts or cases with moderate pupillary dilation. Watch the video to see how executing a smooth horizontal chop optimizes nuclear disassembly and minimizes ultrasound energy consumption. How early in training do you believe cataract surgeons should transition from stop-and-chop or divide-and-conquer to pure horizontal chopping? Please comment your thoughts below.
