Dr Agarwal's Eye Hospital and Eye Research Centre, Chennai, India.
Curr Opin Ophthalmol. 2019 Jan;30(1):25-38. doi: 10.1097/ICU.0000000000000538.
To review the different methods of chopping in cataract surgery.
Chop techniques are of advantage in reducing the amount of phaco energy, endothelial damage as well as zonular stress to the eye. Various methods have been described including the classical horizontal and vertical chops as well as newer chop techniques for all grades of cataract. Femtochop using the femtosecond laser as well as the use of a microinterventional snare are more recent advances.
Learning chop manoeuvres - both the classically described ones as well as newer ones and adaptation to various scenarios is important in successfully and safely performing cataract surgery. This becomes especially more important in challenging situations such as low endothelial count, small pupil, subluxated cataract, and so forth.
回顾白内障手术中不同的劈核方法。
劈核技术有利于减少超声能量的使用、减少对内皮细胞的损伤以及对眼内组织的牵拉力。各种方法已被描述,包括经典的水平和垂直劈核以及各种程度白内障的新型劈核技术。飞秒劈核技术(使用飞秒激光)和微介入圈套器的使用是最近的进展。
学习劈核操作——包括经典描述的方法和新型方法,并适应各种情况,对于成功和安全地进行白内障手术非常重要。在具有挑战性的情况下,如内皮细胞计数低、瞳孔小、半脱位白内障等,这一点尤为重要。