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Cartwheel Chop

Are you SICS surgeon planning to start Phaco, then this is the technique for you ! The nucleus sculpting techniques have undergone constant modifications since Kelman’s invention of Phacoemulsification technique in 1960s. It started with “divide & conquer” developed by Shephard & Gimble to the “phaco chop” of Nagahara. World over innovative surgeons have developed different ways to tackle the nucleus in a way which minimizes injury to endothelium, reduces the stress on zonule and saves the posterior capsule. Most of the techniques are safe with experienced surgeon but beginners with steep learning curve and hard cataracts pose challenge. I present the cartwheel chop, a novel nucleus sculpting technique which is both easy & safe for beginners and very helpful in hard cataracts. The advantage of this technique is that it releases pressure on zonules & posterior capsule by chopping supracapsularly and saves corneal endothelium by emulsifying the nuclear pieces endocapsularly. . It is named so because nucleus is treated as an imaginary cartwheel where, phaco tip is impelled in the center to hold & rotate it like hub of cartwheel and chopping is done over imaginary spokes. (Animation Video:    • Cartwheel Chop - Animation   )