I like to think of the phaco incision and the capsulorhexis as my “signature” on every cataract surgery that I perform. These are the two most obvious signs of the prior cataract surgery (plus, of course, being pseudophakic) and they are a reflection of the surgeon. We want to strive to make a beautiful incision with balanced architecture and a round, well-centered, and appropriately sized capsulorhexis.
The video here is of a routine case in a patient with a short eye, shallower anterior chamber, smaller white-to-white measurement, and significant hyperopia. The case goes well and the patient achieves excellent vision. And I truly enjoyed performing this surgery.
Click below to hear step-by-step commentary for this routine phaco chop case: