Microincision cataract surgery: 1.8 mm incisional surgery

Abstract

Microincision cataract surgery (MICS) is an approach to cataract surgery through incision less than 1.8 mm with the purpose of reducing surgical invasiveness, improving at the same time surgical outcomes. The main confirmed advantages of MICS are the control and avoidance of surgically induced corneal astigmatism and the decrease of postoperative corneal aberrations. MICS has been demonstrated to be minimally traumatic surgery, providing better postoperative outcomes than standard small incision phacoemulsification. High degree of surgical innovation, use of advanced phacoemulsification surgical platforms with pressurized fluidic control and new surgical instrumentation, allow doing very sophisticated cataract surgery. MICS favors the use of fluidics, reducing the use of phacoemulsification power. Bimanuality provides opportunity to do manipulation in anterior chamber area easily and much more comfortably than with standard coaxial technique. Today, surgery is performed through 1 mm incision. The use of the modern MICS intraocular lens (IOL) requires incisions of 1.8 mm. The increased availability of MICS IOLs allows to select the best IOL as per the demand of the patient. Long-term stability of the MICS outcomes and wide range of surgical capacity makes MICS the most modern and adequate approach to minimally invasive cataract surgery.

Keywords::

• aberrations
• cataract
• lens
• MICS
• microincision
• surgery

Financial & competing interests disclosure

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending or royalties.

No writing assistance was utilized in the production of this manuscript.