Visual outcome and complications of cataract surgery using prechop manual phacofragmentation

Comparison of patient satisfaction with services of vision centers in rural areas of Andhra Pradesh, India

“…I thank Mr. Kongsap[1] for the interest in my article. [2] All techniques based on the Akahoshi prechop[34] will of necessity bear some resemblance to each other.…”

“…If the Akahoshi prechop technique as described by Akahoshi is applied to small-incision cataract surgery it does not really count as a modification, just a new application for the same technique. This is probably the situation with Wiriyaluppa's technique (which I have not been aware of before), but which he describes in his letter to the editor[1] as having “used the Akahoshi chopper forceps to divide the nucleus within the capsular bag.” However, my technique would probably qualify as a modification as the prechop is not carried out in the bag, and, the prechopper is not inserted in the anterior aspect of the nucleus.…”

Efficacy and safety of the eight-chop technique in phacoemulsification for patients with cataract

“…This may be because only 4 articles, to the author's knowledge, have been published on the prechop technique in the past 30 years, with the exception of the study by Akahoshi. 11–14…”

“…This may be because only 4 articles, to the author's knowledge, have been published on the prechop technique in the past 30 years, with the exception of the study by Akahoshi. [11][12][13][14] I have been using the prechop technique in cataract surgeries since 2000, and I developed the 8-chop technique in 2002. This is characterized by the division of the lens nucleus into 8 segments, instead of only 4 as in the prechop technique.…”

Commentary: Protecting the protector

“…So one should take care to maintain the depth of the anterior chamber with the appropriate use of irrigating solutions, OVDs, the correct method of introducing the instruments into the anterior chamber, and proper use of Simcoe cannula. [ 5 ] One should also be aware of patient-related factors that alter the depth of the anterior chamber like lid squeezing and positive pressure in obese patients.…”