This patient has a 4+ nuclear sclerotic cataract which we would classify as dense. Fortunately, it is not quite at … More
Category: 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
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
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
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
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
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
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
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
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
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
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
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
1108: Moderate Nuclear Density Chop
I am often asked why I just do the one chop in some of my cataract cases. Would it be … More
1105: Using the Power Pre-Chopper
The Ultra-chopper was designed by Dr Luis Escaf in order to penetrate a very dense nucleus to chop a cataract. … More
1103: Pre-Chopper Technique
Pre-chopping means that we are splitting the nucleus into half or quadrants prior to inserting the phaco probe into the … More
1095: Where to place the chopper
Let’s admit that phaco chop can be a tough technique to learn. It requires both hands to perform a different … More
1054: complete case: why we chop
You know that I’m a big fan of the phaco chop technique for nucleus disassembly during cataract surgery because it … More
1039: complete case: surgeon control
This is a complete cataract case, shown from start to finish, with me as the surgeon. While many of the … More
1019: from one chop to the next
This complete cataract case shows how we move from the first chop to the next in order to efficiently break … More