While chopping techniques are particularly advantageous for complicated cataracts, they must be integrated with other devices and strategies. Phaco Chop, the best-selling cataract surgery book, has been revised and updated into a Second Edition to reflect the many advances over the past few years. More than half of the 30 total chapters are new. These detail strategies for complicated cases and introduce femtosecond laser nuclear fragmentation techniques. Dr. David F. Chang is widely acknowledged as one of the best cataract surgical teachers. His video instruction courses for phaco chop and complicated cataracts have consistently ranked among the best attended and top rated at the American Academy of Ophthalmology and American Society of Cataract and Refractive Surgery meetings for over a decade. The Four Main Sections inside the Second Edition:Phaco Chop TechniquesPhacodynamics of Chopping Femtosecond Laser Nuclear PrechoppingComplicated Cases and Complications - Strategies and ManagementSection One is a detailed guide for learning phaco chop. The faculty from Dr. Chang's popular phaco chop course outlines their pearls based upon extensive experience teaching residents and transitioning surgeons. Section Two provides the general principles of instrumentation and configuring machine parameters. Separate chapters specifically address optimizing the Infiniti, Signature, and Stellaris platforms for chopping. Section Three introduces femtosecond laser nuclear prechopping with separate chapters on the LenSx, LensAR, and OptiMedica platforms. Section Four covers small pupils and IFIS, rock hard and white mature cataracts, weak zonules, and extremely long and short eyes with an emphasis on managing posterior capsule rupture, advanced IOL fixation strategies, and avoiding and managing capsulorrhexis complications.
David F. Chang, MD is a Summa Cum Laude graduate of Harvard College and Harvard Medical School. He completed his ophthalmology residency at the University of California, San Francisco (UCSF) where he is now a clinical professor. Having chaired the American Society of Cataract and Refractive Surgery (ASCRS) Cataract Clinical Committee, Dr. Chang joined the ASCRS Executive Committee in 2009, serving as president in 2012-2013. He is also chairman of the American Academy of Ophthalmology (AAO) Cataract Preferred Practice Pattern Panel, immediate past chair of the AAO Practicing Ophthalmologist Curriculum Panel for Cataract/Anterior Segment, and in 2009 completed his 5-year term as chair of the AAO Annual Meeting program committee. Dr. Chang is a board member of the ASCRS Foundation and serves on the medical advisory board of 2 global humanitarian organisations (Himalayan Cataract Project and Project Vision). He is also an adjunct clinical professor of ophthalmology at the Chinese University in Hong Kong and honorary professor for the Zhongshan Ophthalmic Center of Sun Yat-Sen University in China.