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Phaco tip-chopper flip technique for epinucleus removal in cataract surgery
Wenjia Xie1, Tian Tian2, Luyi Ying2
1Department of Ophthalmology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China. 3315009@zju.edu.cn.
BMC Ophthalmology
|June 3, 2026
Summary
The Phaco Tip-Chopper Flip Technique safely and effectively removes epinucleus during cataract surgery. This innovative method shows promising results for various cataract types.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Phacoemulsification is a standard cataract surgery method.
- Epinucleus removal can be challenging, potentially leading to complications.
Purpose of the Study:
- Introduce the novel Phaco Tip-Chopper Flip Technique for epinucleus removal.
- Evaluate the preliminary clinical outcomes of this technique.
Main Methods:
- Retrospective review of 16 eyes undergoing the Phaco Tip-Chopper Flip Technique.
- Key steps involve using irrigation/aspiration (I/A) mode and a chopper to flip and aspirate the epinucleus.
Main Results:
- Successful completion of all surgeries without intraoperative or postoperative complications.
- Effective removal of thick and adherent epinucleus using high vacuum.
- Expected improvement in corrected distance visual acuity post-surgery.
Conclusions:
- The Phaco Tip-Chopper Flip Technique is a safe and efficient method for epinucleus removal.
- This technique is suitable for diverse cataract scenarios.
- Preliminary results support its clinical utility.
