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Koju Kamoi MD
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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.
Posted: 2/01/2010
Koju Kamoi MD
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.
Posted: 2/01/2010
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Just Now
Valerio Piccirillo
15 years ago
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!!).
tomas jaeschke
15 years ago
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.
anoop s
15 years ago
poor centration,ordinary technique.thanks for sharing,hope to c more well centered and dealing with nuclear sclerosis grade 3-4
ramiro marchesi
15 years ago
bad centred and uncomplete vacum to do safety chop.
Yuri Klimov
15 years ago
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.
Jesus Zarallo
15 years ago
Chop-as-you-can technique. Nothing new.
Matthew Margolis
15 years ago
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.
Michael Miyashiro
15 years ago
thank you for sharing Dr. Kamoi!
daniel demonte
15 years ago
no comment
1435 56435
15 years ago
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.<br /><br /><editted by eyetube.net moderator>
LUCA CARIFI
15 years ago
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....
carlos herrero
15 years ago
no comment
jorge huaman
15 years ago
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
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