[Bimanual phaco-fragmentation in anterior chamber with chopper and spatula: a new manual phaco-fragmentation option]

We develop an alternative form of manual phacofragmentation for surgery of the cataract with small incision. We have designated it chop-bisection or chop-trisection. The nucleus division is accomplished through sliding, from 6 hours to 12 hours, and counterpressure of a phacochop against other manipulator introduced between the nucleus and the posterior capsule.

The chop-bisection/trisection is an alternative to other forms of nuclear division for small incision surgery, that permits to divide the nucleus in 2 or 3 fragments, introducing instrumental of small dimensions in the anterior chamber, without creating space conflicts or greater traumatism than other described techniques.