Horizontal chopping is my preferred phaco technique because it works well for any density of nucleus, independent of pupil size.
In this technique, the fundamentals of which are described here and here, the surgeon eliminates sculpting and uses mechanical force to cleave the nucleus. This reduces phaco power delivery in the eye and, if performed well, also reduces the operative stress on the zonules by confining the forces of segmentation to within the capsule, rather than relying on the zonules for support.
For horizontal chopping, I prefer the constant holding (Read more...)