Phaco Chop
Objectives
- Describe various techniques for nucleus disassembly:
- Stop and Chop
- Quick Chop
- Demonstrate Phaco chop using Kitaro and/or Phillips eye models
Reading
- Henderson BA. Essentials of Cataract Surgery, second edition. Thorofare, NJ: Slack Inc., 2014. (WW 260 E78 2014). isbn 978-1-61711-0672
- Chapter 14, Phaco Chop Techniques, pages 135-148
(UIHC Link) - Kim, Terry. Curbside Consultation in Cataract Surgery: 49 Clinical Questions, second edition. Thorofare, NJ: Slack Inc., 2014
- Question 26: I usually perform Divide-and-Conquer Phacoemulsification. How can I incorporate Chopping into my Technique
Videos
• Chop
Learning phaco chop step by step
Watch on YouTube
Stop n chop some teaching points
Watch on YouTube
First phaco chop
Watch on YouTube
Nice chop
Watch on YouTube
Soft chop
Watch on YouTube
Channel chop (as a transition to phaco chop)
Watch on YouTube
Paracentesis placement for siebel chopper
Watch on YouTube
Vertical Chop Dense Lens
Watch on YouTube
Horizontal soft chop
Watch on YouTube
• Chopping complications
Chopped
Watch on YouTube
Chopper tear
Watch on YouTube
Chopper incident
Watch on YouTube
• Whole Cases
Great third year case – using phaco chop
Watch on YouTube
Routine phaco chop
Watch on YouTube
• Simulation
Phaco chop simulation
Watch on YouTube
Simulation
EQUIPMENT
Phaco Machine
Chopper
Hydrodissection cannula
Keratome
Side port
Viscoelastic, 27g cannula
Cystotome
EYESI
There are modules that are to train for phaco chop.
Suggested citation format: Haugsdal J, Kitzmann A, Oetting TA. The Iowa Ophthalmology Wet Laboratory. EyeRounds.org. Updated Posting June 28, 2021. Originally Posted December 6, 2012. Available from http://www.EyeRounds.org/tutorials/Iowa-OWL-o2021/
