Failure to Pivot in the Incision causes Issues

One of the most common mistakes made by novice surgeons is the failure to pivot in the incision. This causes many issues such as shallowing of the anterior chamber, loss of viscoelastic, wrinkles in the cornea, movement of the eye out of primary position, and inability to control the capsulorhexis creation.

In the video shown here, we are intentionally pushing the forceps up against the side of the incision to demonstrate this fault. We have previously posted about the importance of the pivot, so please review that article and video as well. Also remember that pushing against the incision during phacoemulsification also puts you at high risk for a corneal wound burn.

Click below to see what happens when we fail to pivot in the incision: