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KMID : 0360220220630040345
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Journal of the Korean Ophthalmological Society
2022 Volume.63 No. 4 p.345 ~ p.351
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Learning Curve in Phaco Chop Cataract Surgery Using an Illuminated Chopper
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Choi Yeon-Sun
Ahn Jong-Ho
Lee Ki-Woong
Kim Yu-Jeong
Eom Young-Sub
Lee Dae-Young
Nam Dong-Heun
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Abstract
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Purpose: To confirm that the phaco chop method using an illuminated chopper (iChopper; Oculight, Seongnam, Korea) can reduce cataract surgery complications, and that even beginners can safely and effectively perform phaco chop.
Methods: We retrospectively analyzed the medical records of the first 30 phaco chop cases using illuminated chopper of four cataract surgeons. Four ophthalmologists had a variety of empirical backgrounds, from those who have experienced more than 10,000 cataract surgery, to beginners who have experienced 20 cataract surgery.
Results: Of the total 120 eyes, two eyes (1.67%) had posterior capsule rupture. The chopping method was changed from phaco chop to stop and chop in three eyes (2.5%) including one eye with brown cataract with pseudoexofoliation syndrome and two eyes with nuclear opacity grade ≥5.
Conclusions: The rates of posterior capsule rupture of phaco chop using an illuminated chopper were very low in four surgeons with various experiences and who became proficient shortly in phaco chop.
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KEYWORD
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Cataract surgery, Illuminated chopper, Learning curve, Phaco chop, Phacoemulsification
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