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Cataract Coach™

Cataract Coach™

Professor Uday Devgan MD, renowned Los Angeles cataract surgeon, teaches the Best Techniques for Cataract Surgery. All Content © 2018-2023 Uday Devgan Cataract Coach™

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Category: Phaco Chop

1852: chopped but can’t bring heminucleus up

In this case the nucleus is chopped efficiently, but there is a struggle to bring up the first heminucleus. Why? … More

cataract quiz, phaco chop

1838: the easy way to learn phaco chop

There is some resistance among surgeons to learn a new technique because of the learning curve. For surgeons who are … More

learning curve, phaco chop

1835: efficient phaco chop dense nucleus

This patient has a dense cataract — the kind where the posterior plate of the nucleus is tough and fibrous … More

dense cataract

1752: resident’s 3rd horizontal chop

Last week in video 1747, we showed you this same resident surgeon’s first case of horizontal chop and it went … More

horizontal chop, phaco chop, resident cataract surgery

1747: A resident’s first phaco chop case

The advantage of residency training is that a seasoned attending ophthalmologist is sitting right next to you, giving advice, teaching … More

phaco chop, resident cataract surgery

1732: this white cataract is quite dense

We have previously explained that not all white cataracts are the same and that there is an entire spectrum of … More

dense white cataract

1719: Crater Chop Technique

This resident cataract surgery case shows the crater chop technique where a central section of the nucleus is bowled out … More

phaco chop, resident cataract surgery

1703: horizontal chop without vacuum

The traditional method of phaco chop uses vacuum holding power at the phaco tip to hold the nucleus while the … More

horizontal chop, no vacuum

1693: curriculum lesson 13: phaco chop details

Merry Christmas to the young ophthalmologists who are going to make time to learn from this latest lesson in our … More

curriculum, phaco chop

1679: Curriculum Lesson 12: more phaco chop

Phaco chop is such an important technique that we have another lesson going into more of the specifics. You can … More

curriculum, phaco chop

1678: can you chop with any instrument?

I have said it before, the hands are more important than the equipment. And the technique is more important than … More

chopper

1665: Curriculum Lesson 11: basic phaco chop

Phaco chop is the most common nucleo-fractis technique among expert and master cataract surgeons because it is the most efficient … More

chopper, curriculum

1611: dense cataract with foot pedal video

Surgeons who want to learn phaco chop sometimes have a challenge with the foot pedal control. When should energy be … More

dense cataract, foot pedal

1590: flip & chop and clear corneas

This is a complete cataract case, shown start to finish, of a routine cataract surgery using the flip and chop … More

complete cataract case, flip and chop

1565: hesitant to perform flip and chop?

Multiple CataractCoach.com subscribers have emailed me to ask for pearls for success with phaco flip and chop. They have some … More

cataract surgery, efficiency, flip and chop

1548: skill level after 2000 surgeries

We have previously discussed the surgical learning curve with a detailed explanation how the beginning part of the curve is … More

cataract surgery

1544: the first chop didn’t work, so…

Enough resident cases for now. If you’re a novice surgeon who has enjoyed learning from the resident cases, you can … More

complete cataract case

1534: a resident’s first phaco chop

We are in the middle of July and that means that ophthalmology residents in the USA are starting the academic … More

phaco chop, resident cataract surgery

1519: tilt and chop is efficient and safe

This is a complete cataract case, shown start to finish, using the tilt and chop technique. This is like the … More

flip and chop, phaco chop

1501: complete toric IOL technique

Toric IOLs are great options to address corneal astigmatism, especially when it is 1 diopter or greater in magnitude. This … More

complete cataract case, toric IOL

1487: dense central endo-nucleus

In this case, there was a dense central endo-nucleus that seemed somewhat resistant to chopping. When I chopped the nucleus, … More

cataract surgery, endo-nucleus

1462: new graduate performs phaco chop

I am very proud of this young surgeon who is performing phaco chop for this routine cataract case. Let’s face … More

beginner surgeon, phaco chop

1442: this nucleus is denser than it looks

This is a complete cataract case, shown start to finish, of a patient seen in my private clinic. At the … More

cataract surgery, phaco chop

1431: this is why I just need one chop

For routine cataract cases, I can perform just one phaco chop to split the nucleus into two halves and then … More

cataract surgery, phaco chop

1430: mom of an ophthalmologist

Since our surgery center is in Beverly Hills, I have many celebrities as patients. Multiple actors / actresses who have … More

cataract surgery, fellow ophthalmologist

1399: four simultaneous camera angles

Our guest surgeon is Dr Andre Berger from Brazil and he is an accomplished, expert cataract surgeon. In this video … More

cataract surgery

1378: young surgeon chop technique

The young surgeon featured in this video does an excellent job of performing phaco chop in this routine cataract case. … More

phaco chop

1360: cross chop technique

I enjoyed watching this video where our guest surgeon performs a technique that he calls swift chop. What’s interesting about … More

phaco chop

1354: phaco parameters for efficiency

Surgeons frequently ask me to list my phaco settings for performing efficient cataract surgery. Let me be the first to … More

phaco fundamentals, phaco machine

1333: pre-chopper for nucleus division

The pre-chopper is an instrument with two blades which are shaped like paddles and they are embedded into the nucleus … More

cataract surgery, pre-chop

1320: do I prefer flip or chop?

Many CataractCoach fans have emailed me asking which technique I prefer for routine cases: phaco flip or phaco chop? Some … More

flip and chop, phaco chop, phaco flip

1316: slow motion of combo phaco chop

This video features a combination phaco chop (a combination of vertical chop and horizontal chop techniques) where we play the … More

phaco chop, slow motion

1311: routine case with moderate density

Don’t be fooled into thinking that there is not much to be learned from watching a routine cataract case. As … More

cataract surgery, phaco chop

1298: cortical cleaving hydro-dissection

This video shows the technique of cortical cleaving hydro-dissection which we have previously covered. This involves using the fluid wave … More

cataract surgery, hydrodissection

1271: please steal this phaco technique

We all learn from each other — that’s one of the best things about ophthalmology. My surgical techniques are an … More

complete cataract case, phaco chop

1263: double hook pre-chop technique

Our guest surgeon, Dr Érico Jun Oda from Brazil, does a great job with this surgery. Using just two hooks … More

dense white cataract, pre-chop

1247: Bent Needle Pre-Chopper

Our guest surgeon, Val Apostolov MD, has been featured on CataractCoach many times before. He is an innovative surgeon who … More

chopper, phaco chop

1213: chop this dense cataract in the bag

This patient has a 4+ nuclear sclerotic cataract which we would classify as dense. Fortunately, it is not quite at … More

dense cataract, phaco chop

1187: don’t place the probe in the center

To achieve the best combo chop, you want to have a sufficient distance between the phaco probe and the chopper … More

phaco chop

1176: cataract surgery in Fuchs’ dystrophy

You will certainly encounter patients with Fuchs’ dystrophy where the corneal endothelial cell layer becomes compromised. With loss of endothelial … More

complete cataract case, fuchs

1175: the last case of residency

This is the final cataract case that was performed during residency and likely represents about 200 to 300 cataract surgeries … More

cataract surgery, ophthalmology residency, phaco chop

1169: surgery for a cataract surgeon

It is always a pleasure to do cataract surgery for a fellow cataract surgeon. This is the highest compliment that … More

cataract surgeon

1164: routine phaco chop complete case

From our Complete Cataract Case series, this is a video of a routine phaco chop case. It is not cherry … More

cataract surgery, phaco chop

1158: adjusting the red reflex

The two primary illumination sources on your microscope are coaxial and paraxial. We have previously explained the differences in the … More

cataract surgery, microscope, red reflex

1131: Cataract Surgery in Ocular Albinism

Ocular albinism is rare, however just about every cataract surgeon will encounter at least one or two patients with this … More

ocular albinism

1128: Why can’t I get the nuclear piece up?

You are ready for action. You embed the phaco probe and achieve high vacuum. You carefully place the chopper into … More

phaco chop

1123: dense brunescent cataract chop

This video showcases the entire surgery which we are running at 2x speed so that it is just 5 minutes. … More

brunescent, dense cataract

1115: no need to hook the lens equator

The original technique of phaco chop involved placing the chopper under the capsulorhexis edge and then around the lens equator. … More

phaco chop

1110: more chops for a dense nucleus

If the cataract nucleus is more dense, such as 3-4+ NS, performing more chops is beneficial to break up the … More

phaco chop

1109: the mushy nucleus is tough to chop

Sometimes when we try to chop the nucleus, we realize that the cataract material is too mushy and the chopped … More

phaco chop

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