Incision Construction For Phacoemulsification

Incision construction is critical to a successful phacoemulsification procedure. The incision needs to be accurately sized for the size of the phacoemulsification tip to be used. Today's microincision corneal procedures utilize an incision of 2.5 mm or smaller that must accommodate a micro phaco tip.
The square configuration of the 2.2 mm incision and nearly square 3.0 mm incision is stable and along with diligent confirmation of incisional sealing, prevents hypotony during the immediate postoperative period. In addition, although the IOP should be set high after refilling the anterior chamber with BSS to ensure proper wound apposition of the internal wound lips, it can and should be set at physiologic
levels at the end of the procedure in the presence of a sealed, square, clear corneal incision.