Microincision cataract surgery: technology and techniques

Cataract surgery continues to evolve, embracing smaller incisions that allow quicker recovery, better wound strength and increased surgical control, resulting in lower complication rates and better outcomes. We describe the emergence of microincision phacoemulsification through a sub-2-mm incision, explaining the technological developments that have allowed this technique to develop, the pros and cons of biaxial compared with coaxial approaches, and the intraocular lenses that are available for microincision surgery. Tips to ease the transition to microincision surgery are discussed. A section on how this field may evolve over the next few years is also included.