While chopping techniques are particularly advantageous for complicated cataracts, they must be integrated with other devices and strategies. Phaco Chop, the best-selling cataract surgery book, has been revised and updated into a Second Edition to reflect the many advances over the past few years. More than half of the 30 total chapters are new. These detail strategies for complicated cases and introduce femtosecond laser nuclear fragmentation techniques.
Dr. David F. Chang is widely acknowledged as one of the best cataract surgical teachers. His video instruction courses for phaco chop and complicated cataracts have consistently ranked among the best attended and top rated at the American Academy of Ophthalmology and American Society of Cataract and Refractive Surgeons meetings for over a decade.
The Four Main Sections inside the Second Edition:
· Phaco Chop Techniques
· Phacodynamics of Chopping
· Femtosecond Laser Nuclear Pre-Chopping
· Complicated Cases and Complications – Strategies and Management
Section One is a detailed guide for learning phaco chop. The faculty from Dr. Chang’s popular phaco chop course outlines their pearls based upon extensive experience teaching residents and transitioning surgeons.
Section Two provides the general principles of instrumentation and configuring machine parameters. Separate chapters specifically address optimizing the Infiniti, Signature, and Stellaris platforms for chopping.
Section Three introduces femtosecond laser nuclear pre chopping with separate chapters on the LenSx, LensAR, and Optimedica platforms.
Section Four covers small pupils and IFIS, rock hard and white mature cataracts, weak zonules, and extremely long and short eyes with an emphasis on managing posterior capsule rupture, advanced IOL fixation strategies, and avoiding and managing capsulorrhexis complications.
Dedication
Acknowledgments
About the Author
Contributing Authors
Foreword by Robert H. Osher, MD
Introduction
Section I Phaco Chop Technique
Chapter 1 Why Learn Chopping?
David F. Chang, MD
Chapter 2 Horizontal Chopping: Principles and Pearls
Randall J. Olson, MD
Chapter 3 Vertical Chopping: Principles and Pearls
Louis D. “Skip” Nichamin, MD
Chapter 4 Comparing and Integrating Horizontal and Vertical Chopping
David F. Chang, MD
Chapter 5 Transitioning to Phaco Chop: Pearls and Pitfalls
David F. Chang, MD
Chapter 6 Phaco Prechop
Takayuki Akahoshi, MD
Chapter 7 Biaxial Microincision Chopping
Mark Packer, MD, FACS, CPI
Section II Phacodynamics of Chopping
Chapter 8 Understanding the Phacodynamics of Chopping
Barry S. Seibel, MD
Chapter 9 Optimizing Machine Settings for Chopping Techniques
David F. Chang, MD
Chapter 10 Optimizing the Alcon Infiniti for Chopping
David F. Chang, MD and Barry S. Seibel, MD
Sidebar: Ultra Chopper Theory and Technique
Alan S. Crandall, MD
Chapter 11 Optimizing the AMO Signature for Chopping
David F. Chang, MD
Chapter 12 Optimizing the Bausch + Lomb Stellaris for Chopping
Louis D. “Skip” Nichamin, MD
Section III Femtosecond Laser Nuclear Prechopping
Chapter 13 Femtosecond Laser Nuclear Fragmentation (LenSx Platform)
Robert J. Cionni, MD
Chapter 14 Femtosecond Laser Nuclear Fragmentation (LensAR platform)
Louis D. “Skip” Nichamin, MD
Chapter 15 Femtosecond Laser Nuclear Fragmentation (Catalys Platform)
Barry S. Seibel, MD
Section IV Complicated Cases and Complications: Strategies and Management
Chapter 16 Capsulorrhexis: Sizing Objectives and Pearls
David F. Chang, MD
Chapter 17 Conquering Capsulorrhexis Complications
David F. Chang, MD
Chapter 18 Pearls for Hydrodissection and Hydrodelineation
David F. Chang, MD
Chapter 19 Strategies for the Rock Hard Nucleus
David F. Chang, MD
Chapter 20 Advanced Phaco Techniques for Brunescent Nuclei: Cross-Action Chop Circumferential Disassembly
Lisa B. Arbisser, MD
Chapter 21 Strategies for Small Pupils
David F. Chang, MD
Chapter 22 Intraoperative Floppy Iris Syndrome
David F. Chang, MD
Chapter 23 Strategies for Weak Zonules
David F. Chang, MD
Chapter 24 Intraocular Lens Implantation With Abnormal Zonules
David F. Chang, MD
Chapter 25 Phaco in Highly Myopic Eyes
David F. Chang, MD
Chapter 26 Phaco Within the Crowded Anterior Segment
David F. Chang, MD
Chapter 27 Strategies for Managing Posterior Capsule Rupture
David F. Chang, MD
Chapter 28 Intraocular Lens Implantation Following Posterior Capsule Rupture
David F. Chang, MD
Chapter 29 Strategies for Unplanned Anterior Vitrectomy
Lisa B. Arbisser, MD
Chapter 30 Posterior Capsule Rupture and Vitreous Loss: Advanced Approaches
Louis D. “Skip” Nichamin, MD
