Phaco Forward-Chop
The Phaco Forward-Chop technique developed by Koju Kamoi, MD, PhD, is useful following incomplete nucleus division in hard cataracts due to the presence of a dense posterior nuclear plate. In phaco forward-chop, the chopper moves from the posterior nucleus toward the anterior capsule to improve the likelihood of accurate nuclear disassembly.
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Comments (13)
Well , I think that in hard cataracts may be more useful a stop and chop technique ( with an adhesive OVD in anterior chamber !) as the lens eqautor cannot be easy to " gain " followed by an incomplete first chop ( this may explain a phaco working close to endothelium and exagerate movements in the AC wth poor centration on OM!!).
try to use a modified stop and chop. you will use less US and the manuover will be more gently..and you will be more centered. I think your chop technique isnt good also you work too close to the endothelium.tks for shearing.
poor centration,ordinary technique.thanks for sharing,hope to c more well centered and dealing with nuclear sclerosis grade 3-4
bad centred and uncomplete vacum to do safety chop.
Hi. I think it's the safety technique of chop.I use the same one,without knowing that it's Phaco Forward-Chop. I've seen a similar technique on http://www.youtube.com/watch?v=DJhikjz__6g . But the idea to chop from posterior nucleus toward the anterior is great.
Chop-as-you-can technique. Nothing new.
I would call this a salvage phaco chop. It is not really a new technique. It continues from an incomplete chop and saves the case. Not exactly a manuever I would try to duplicate but a good example of continued chopping after the first one doesn't work.
thank you for sharing Dr. Kamoi!
no comment
To Luca Carifi, True, the video may not have been centered. However, your comment is rude. At least give some constructive criticism if you didn't feel it was good technique. This technique looks like a variation of phaco flip and chop. Thanks to Dr. Kamoi for sharing.
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I think it is one of the worse surgical video I have ever watched: it is either not well centred at all and a bad example of surgical technique....
hi, it doesn´t look like a hard cataract/ besides, I think that your nucleus purchase is to close to the equator. that´s why your first chop isn´t complete
no comment