Technique: PDF OnlyPhaco slice and separateArshinoff, Steve A. MD, FRCSC**Author Information Humber River Regional Hospital and University of Toronto,Ontario, Canada **Reprint requests to Steve A. Arshinof, MD, FRCSC, York Finch EyeAssociates, 2115 Finch Avenue W, #316, Toronto, Ontario, Canada M3N 2V6. Accepted October 17, 1998. Presented in part at the Symposium on Cataract, IOL and Refractive Surgery Boston, Massachusetts, USA, April 1997. Journal of Cataract & Refractive Surgery: April 1999 - Volume 25 - Issue 4 - p 474-478 doi: 10.1016/S0886-3350(99)80042-X Free Metrics Abstract Phaco slice and separate retains the advantages of the chopping techniques of Nagahara, Koch, and Fukasaku but replaces chopping or snapping with slicing across the center of the phaco-tip-stabilized nucleus using a Nagahara chopper and then repositioning the chopper to optimally separate the divided lens halves. As the lens is rotated in the capsular bag, small pieces of the nuclear pie are sliced off, separated, emulsified, and aspirated. Emulsification and aspiration can alternatively be left until most or all the slices have been made. This technique works with a broader range of lens densities than other chopping techniques and uses no sculpting and very little phaco time. The phaco time required for this technique is relatively independent of nuclear density compared with a sculpting technique. © 1999 by Lippincott Williams & Wilkins, Inc.