DR. ANUJ KODNANI

, Dr. M.C.JAIN

Abstract

Aim: To portray a reproducible and safe vertical chopping technique using a blunt chopper in different case scenarios.

Methodology: Vertical chopping using a “central well” can be performed in any cataract having more than or equal to a grade 2 nuclear density. We take advantage of the lamellar orientation of the lens fibers which allows easy manual separation of natural fracture planes in a dense nucleus. It is a novel technique which is independent of pupil size, has minimal zonular stress, safeguards the surgery by restricting phaco probe as well as the second instrument movements inside the central safe zone and when performed using a blunt chopper it substantially reduces the chances of complications. We demonstrate this technique in different case scenarios and grades of cataract where successful vertical chopping manoeuvres were performed.

Conclusion: Vertical Chop using a blunt chopper is an effective technique to provide maximal safety in harder grade of cataracts.