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

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

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

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

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

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

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

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

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

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

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

Our guest surgeon today shows us a very nice vertical chop technique. This works well if the nucleus has a … More

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

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

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

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

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

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

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

I am often asked why I just do the one chop in some of my cataract cases. Would it be … More