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The perpetuation of techniques such as bowl\u2010sculpting one\u2010handed phacoemulsification in veterinary medicine is multifactorial; it is likely associated with the lack of two\u2010handed training in residency programs, the challenges of learning on complex cases, the ease of teaching one\u2010handed versus two\u2010handed techniques to a resident, and the lack of specific instrumentation available designed for larger lens size, among other factors. Additionally, variation in globe and palpebral fissure size in veterinary patients complicates the training of cataract surgery. Finally, many mentors or mentors' mentors, were trained alongside previous generations of MD surgeons who performed bowl sculpting techniques during the transition from extracapsular cataract extraction to phacoemulsification, and understandably, are not comfortable teaching a two\u2010handed technique consistently. The authors have observed an unwillingness to convert from one\u2010handed to two\u2010handed technique in the post\u2010residency career for most veterinary ophthalmologists; this could be due to the high expectations becoming a specialist, especially when the stakes are as high as in phacoemulsification. Therefore, the authors advocate for hands\u2010on training in multiple nucleofractis techniques, including two\u2010handed methods during residency training. Simply put, if residents are not trained and comfortable with two\u2010handed techniques by the end of residency, they are less likely to make further changes later in their career. In this article, we aim to explore the proposed rates of one\u2010handed versus two\u2010handed mentors currently teaching veterinary phacoemulsification, the history of cataract surgery, and to discuss the benefits of two\u2010handed nucleofractis techniques. The authors will also illustrate and provide videos as well as some tools for veterinary ophthalmologists wishing to learn two\u2010handed techniques.<\/jats:p>","DOI":"10.1111\/vop.13244","type":"journal-article","created":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T01:10:51Z","timestamp":1721351451000},"page":"553-569","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The argument for two\u2010handed cataract surgery in veterinary ophthalmology"],"prefix":"10.1111","volume":"28","author":[{"given":"Kimberly","family":"Hsu","sequence":"first","affiliation":[{"name":"True North Veterinary Eye Care  Winnipeg Manitoba Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4402-9596","authenticated-orcid":false,"given":"Enry Garcia","family":"da Silva","sequence":"additional","affiliation":[{"name":"Southeast Animal Eye Specialists  Newnan Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,7,18]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"1371","volume-title":"Veterinary Ophthalmology","author":"Miller MT","year":"2021"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3138\/jvme-2022-0081"},{"key":"e_1_2_12_4_1","unstructured":"daSilvaEG.Updates on the management of posterior capsular rupture and unplanned anterior vitrectomy. 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