by I. Howard Fine, MD, Mark Packer, MD, and Richard S. Hoffman,
MD, with illus, $55, ISBN 1-5564-2548-1, Thorofare, NJ, Slack Inc, 2002.
This CD-ROM, arranged by experts in the field of cataract surgery, is
a wonderful "state of the art" look into all the latest techniques of phacoemulsification,
as well as special considerations to the surgery. The format of the software
allows the viewer to read the text and/or watch the film clips of the various
techniques while audio explains the steps. It is user-friendly and easy to
The software is divided into 2 parts: "Step-by-Step Phacoemulsification"
and "Special Techniques." Part 1, "Step-by-Step Phacoemulsification," is subdivided
into the various stages, including incisions, hydrodissection, nuclear disassembly,
viscodissection, intraocular lens insertion, and irrigation and aspiration.
Nuclear disassembly is further divided into the chop and flip, choo choo phaco
flip, chip and flip, stop and chop, quick chop, slice and split, and prechopping.
Each of the previously mentioned steps are shown on video and explained by
the accompanying text and audio. Phacoemulsification settings are provided
for the choo choo chop flip technique for different machines. One minor disappointment
was that the authors do not explain the pros and cons of each technique of
nuclear disassembly, and which would be most appropriate to use in different
circumstances (eg, the technique is best suited for hard vs soft nuclei).
Cataract Surgery CD-ROM: The State of the Art. Arch Ophthalmol. 2002;120(10):1412-1413. doi: