
The phaco incision is critical to the success of the cataract surgery. It gives us controlled access to the cataract, assists in maintaining fluidic balance, induces minimal astigmatic changes, and seals securely. A well-constructed incision makes the surgery safer and the recovery quicker. In addition, it is your signature because, along with the capsulorhexis, it is what other ophthalmologists will see when they examine the eye in the future.
Previous articles here on CataractCoach.com have taught the basics of excellent incisions:
- 3 rules for phaco incisions
- Making the ideal single-plane phaco incision
- phaco incisions can improve or worsen astigmatism
- and more
In the video shown here, we are comparing two cataract surgery cases which were done on the same day by the same resident surgeon in training. This is a great learning video because we can compare and contrast a good incision with a poorly-made one.


Click below for the video comparing good versus bad phaco incisions: