Microchop Phaco

Marcos Gomez MD

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Dr. Marcos Gomez presents his Microchop technique for in the bag phaco of hard cataracts without sculpting. Microchop is a modification of the decrease and conquer and vertical chop technique and is designed for use with coaxial MICS.

Posted: 11/09/2009

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Name: Microchop Phaco
Uploaded: 2009-11-09T12:04:00+00:00
Description: Dr. Marcos Gomez presents his Microchop technique for in the bag phaco of hard cataracts without sculpting. Microchop is a modification of the decrease and conquer and vertical chop technique and is designed for use with coaxial MICS.

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Microchop Phaco

Marcos Gomez MD

Posted: 11/09/2009

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Flavio Shinzato, MD

15 years ago

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Flavio Shinzato, MD

15 years ago

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marcos gomez

15 years ago

Before epinucleous aspiration we need to make Crater Casting, it consists of enlarging the crater obtained after endonucleous aspiration. This is a necesary step in order to debilitate the hard epinucleous. Many endonucleous residues are left in the crater equator, they are identified because empty spaces are more translucent. If you introduce a cannula in the equator periphery you will identify the areas that need enlargement. Probably a phaco microtip fits more easily inside the crater equator to look for such pieces. In the situation of a black cataract this step must be repeated in 360º, crater casting must also be performed in the posterior plate, to eliminate endonucleous residues. This crater enlargement is necesary for the next step, epinucleous aspiration, were we drag the peripheral pieces inside the bag with a combination of hinged movement, slicing, horizontal chop and lateral separation. Last step is posterior plate aspiration.

marcos gomez

15 years ago

Great¡ Do you take the epinucleous out of the bag ?

Dr. Devdatta j Gohel

15 years ago

did you do hydro.. ?

marcos gomez

15 years ago

Your question points to a fundament of microchop it is a mechanical deep layer delineation. When I perform hydro we obtain, epinucleous, peripheral structure and endonucleous. The consistency is different, epinucleous is soft, endonucleous is mild, peripheral structure is hardest part of the cataract, it contains the "leathery" posterior plate.

devendra maheshwari

15 years ago

Bravo

Microchop Phaco

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Microchop Phaco

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