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PUBLICATION EXCLUSIVE: Three rules for corneal phaco incisions
Over the last two decades, cataract surgery has evolved from scleral incisions to corneal incisions, from retrobulbar anesthesia to topical anesthesia, and from rigid IOLs to injectable IOLs. Currently, most surgeons use a corneal incision during cataract surgery because it allows less anesthesia, faster recovery, enhanced access to the anterior chamber and excellent visual outcomes. Residents now start learning cataract surgery with corneal incisions and then learn scleral tunnels later in their training. But be warned that a poorly constructed corneal incision can start a cascade of problems during cataract (Read more...)