Phaco Chop Mastering Techniques, Optimizing Technology, and Avoiding Complications

by Chang, David F.

• ISBN13: 9781556426797
• ISBN10: 1556426798
• Edition: DVD
• Format: Hardcover
• Copyright: 2004-04-19
• Publisher: Slack Incorporated

Summary

Phaco Chop: Mastering Techniques, Optimizing Technology, and Avoiding Complicationscovers everything from step-by-step instruction for the beginner to advanced chopping for complicated cases or bimanual phaco. As the first text completely devoted to this popular topic, it is equally relevant to transitioning surgeons and to those already experienced with chopping.Phaco Chophas four major sections, beginning with a detailed guide for learning phaco chop and its main variations. David F. Chang, MD along with contributing authors Randall J. Olson, MD; Louis D. "Skip" Nichamin, MD; and Barry S. Seibel, MD outline their pearls based upon years of experience in teaching residents and transitioning surgeons.The second section is devoted to the phacodynamics of chopping-the general principles of instrumentation and configuring machine parameters. As a unique feature, four separate chapters are specifically devoted to optimizing the Legacy, Infiniti, Sovereign, and Millennium machines for chopping.Strategies for managing complicated cases and complications comprise the primary focus for the third section. While chopping techniques are particularly advantageous for complicated cataracts, they must be integrated with other devices and strategies. Newer strategies for posterior capsule rupture include the Viscoat PAL, Viscoat Trap, and the pars plana anterior vitrectomy. These options are relevant for any phaco surgeon, regardless of technique or experience. The last section explores a topic that is generating growing interest - bimanual phaco. This is a promising and advanced application that combines phaco chop with the latest innovations in micro-incisional phaco technology. Additionally, a DVD is included containing 2 hours of instructional video that complement and supplement the text. Together with the many high-resolution operative photographs, this paired format overcomes the limitations of learning new and advanced surgical techniques from a text alone. With its comprehensive and integrated emphasis on advanced surgical techniques, optimizing phaco technology, and complication management,Phaco Chopappeals equally to beginning surgeons and residents, as well as high volume surgeons eager to improve their skills.Four Main Sections: Techniques for performing and transitioning to phaco chop Optimizing machine settings for chopping techniques Strategies for complicated cataracts, and for managing complications Applications for bimanual phaco

Author Biography

David F. Chang, MD is a summa cum laude graduate of Harvard College and earned his MD at Harvard Medical School. He completed his ophthalmology residency at the University of California, San Francisco where he is now a clinical professor. In 1995, he received the Crowell Beard Award at University of California, San Francisco for excellence in clinical teaching. Dr. Chang is chairman of the cataract program sub-committee for the AAO Annual Meeting. He organized, and was the program co-chair for the first three AAO “Spotlight on Cataracts” symposia. He is the 2003 recipient of the AAO Annual Meeting Secretariat award.
Dr. Chang is a member of the AAO Ophthalmic Knowledge Base Panel for Cataract and Anterior Segment, which is developing the American Board of Ophthalmology knowledge base for the MOC examination. He is on the scientific advisory board for the UCSF Collaborative Vision Research Group, American Medical Optics, Calhoun Vision, Medennium, and Visiogen, and is the medical monitor for the Visiogen Synchrony accommodating IOL FDA monitored trial. He is co-chief medical editor for Cataract and Refractive Surgery Today, and serves on the editorial boards for Ocular Surgery News, EyeNet, Video Journal of Ophthalmology, and Comprehensive Ophthalmology Update. He is the cataract editor for two online educational sites: the AAO Specialty Clinical Updates and the Ocular Surgery News Ophthalmic Hyperguides.
Financial disclosure: Dr. Chang is a consultant for AMO. He has no financial interest in any instruments.

Table of Contents

Dedication	v
Acknowledgments	ix
About the Editor	xi
Contributing Authors	xiii
Preface	xv
Foreword	xvii
Section One-Phaco Chop Technique
Chapter 1: Why Learn Chopping?	3	(10)
David F. Chang, MD
Chapter 2: Horizontal Chopping: Principles and Pearls	13	(14)
Randall J. Olson, MD
Chapter 3: Vertical Chopping: Principles and Pearls	27	(4)
Louis D. "Skip" Nichamin, MD
Chapter 4: Comparing and Integrating Horizontal and Vertical Chopping	31	(26)
David F. Chang, MD
Chapter 5: Transitioning to Phaco Chop: Pearls and Pitfalls	57	(20)
David F. Chang, MD
Section Two-Phacodynamics of Chopping
Chapter 6: Understanding the Phacodynamics of Chopping	77	(16)
Barry S. Seibel, MD
Chapter 7: Optimizing Machine Settings for Chopping Techniques	93	(16)
David F. Chang, MD
Chapter 8: Optimizing the AMO Sovereign for Chopping	109	(8)
David F. Chang, MD
Chapter 9: Optimizing the Alcon Legacy for Chopping	117	(4)
Barry S. Seibel, MD
Chapter 10: Optimizing the Alcon Infiniti for Chopping	121	(14)
David F. Chang, MD
Chapter 11: Optimizing the Bausch & Lomb Millennium for Chopping	135	(8)
Barry S. Seibel, MD
Section Three-Complicated Cases and Complications: Strategies and Management
Chapter 12: Strategies for the Difficult Capsulorrhexis	143	(20)
David F. Chang, MD
Chapter 13: Pearls for Hydrodissection and Hydrodelineation	163	(10)
David F. Chang, MD
Chapter 14: Phaco Strategies for Complicated Cataracts	173	(26)
David F. Chang, MD
Chapter 15: Posterior Capsule Rupture and Vitreous Loss: Advanced Approaches	199	(4)
Louis D. "Skip" Nichamin, MD
Chapter 16: Strategies for Managing Posterior Capsular Rupture	203	(24)
David F. Chang, MD
Section Four-Bimanual Phaco Chop
Chapter 17: MicroPhaco Chop: Rationale and Technique	227	(12)
Randall J. Olson, MD
Chapter 18: Bimanual Phaco Chop: Fluidic Strategies	239	(12)
David F. Chang, MD
Chapter 19: Bimanual Phaco Chop for Capsular or Zonular Defects	251	(6)
David F. Chang, MD
Index	257