Overview
Phaco Chop: Mastering Techniques, Optimizing Technology, and Avoiding Complications covers 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 Chop has 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 supplements the text. Together with the many high-resolution operative photographs, this paired format overcomes the limitations of learning new and advanced surgicalSynopsis
The technique of phaco chop—a means of dividing the nucleus of the lens of the eye during surgical treatment of cataracts—is believed by Chang (clinical professor, U. of California at San Francisco) and his collaborators to be the safest method of treating simple and difficult cataracts. They set forth their case for that position by reviewing the techniques of the procedure, moving from basic horizontal and vertical chopping and their recommended uses; through discussion of the phacodynamics of chopping, the configuration of the phaco machine, and the avoidance and management of complications; and concluding with an exploration of the application of bimanual, microincisional cataract surgery. The DVD contains two hours of supplemental instructional video. Annotation © 2004 Book News, Inc., Portland, OR
Editorials
From the Publisher
"This beautifully photographed and illustrated book with superbly organized text also includes a 2-hour surgical DVD highlighting key sections of the presented techniques. This text is a valuable learning resource for both the experienced surgeon interested in learning phaco chop, as well as the resident in training."— Christine Chung, MD, Ocular Surgery News