University of Iowa Health Care

Ophthalmology and Visual Sciences

EyeRounds.org

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

 

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



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/

last updated: 07/01/2021