Purpose
The aim was to describe a modified stop and chop technique for managing soft cataract to improve surgical safety.
Materials and methods
Capsulorrhexis is performed as usual with a 27 G needle. A trench is fashioned using low ultrasonic power. Hydrodelineation is performed by a cannula introducing directly in central lens substance. Hydrodissection follows next and precise hydroprocedure is achieved. Nucleus is emulsified using ultrasound power and intraocular lens is implanted.
Result
This technique results in easy rotation and removal of the nucleus and the epinucleus using low phaco power.
Conclusion
This modified phacoemulsification technique is safe and very effective to emulsify soft to moderate hard cataract where direct chop would be difficult.