Micro-incisional Cataract Surgery

Abstract

Micro-incisional cataract surgery (MICS) involves the removal of a cataract through an incision of 1.8mm or less. This surgery offers a range of benefits including faster healing time and reductions in eye trauma, surgically induced astigmatism, and risk of endophthalmitis. Many aspects have been considered during the development of the procedure including the simultaneous advances in surgical instruments, phacoemulsification technology and intraocular lens design, alongside surgical techniques. The four key stages to this procedure: wound creation, capsulorhexis, phacoemulsification and IOL insertion have been adapted to be conducted through the micro incision (cut). Despite new challenges arising alongside each stage of progress, the desire for the improved outcomes achieved through smaller incisions, will continue to drive further advances in surgical technology, techniques and confidence.