EW CATARACT
31
January 2016
(The total is less than 100% due
to comments regarding combining
multiple methods.)
The fifth question was,
"What initial incision width,
in millimeters, do you use for
the phaco procedure?"
As you can see, there is a great
deal of diversity in methods here. EW
Editors' note: Dr. Gossman is in private
clinical practice at Eye Surgeons &
Physicians, St. Cloud, Minn. He has no
financial interests related to this article.
Contact information
Gossman: n1149x@gmail.com
1.8 3%
2.0 2%
2.2 18%
2.3 1%
2.4 35%
2.5 5%
2.6 5%
2.65 2%
2.7 4%
2.75 9%
2.8 6%
2.85 2%
3.0 1%
3.2 2%
Selection of incision size has to
do with the particular phaco instru-
mentation you have at hand, the
minimum incision size compatible
with your favored intraocular lens
inserter, and your personal feelings
as to what is a more "sealable" inci-
sion and with minimal influence on
astigmatism. I've personally found
the 2.2 incision to be a pleasing
compromise of all factors and con-
tinue to use it after a period of using
a 1.8 mm incision proved to result
in more difficult-to-seal incisions, no
doubt related to wound stretch and
small tears during phaco and IOL
insertion.
