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Updated: May 17, 2026
Modeling Cataract Surgery in Mice
Published on: December 1, 2023
Smaller incision size leads to higher predictability in microcoaxial cataract surgery
Matthias K J Klamann1, Johannes Gonnermann, Anna-Karina B Maier
1Department of Ophthalmology, Charité, University Medicine Berlin, Berlin, Germany. matthias.klamann@charite.de
Purpose:
The aim of the study was to compare the clinical outcomes of a 1.8 mm, 2.2 mm, and 2.75 mm microcoaxial cataract surgery system. METHODS. In this retrospective study, 129 eyes of 129 patients were included. Patients underwent phacoemulsification using a Stellaris system or an Infiniti system. The incision size was 1.8 mm, 2.2 mm, or 2.75 mm, respectively. Subjects were examined before surgery and 4 weeks after. The surgically induced astigmatism (SIA) was examined.
Results:
The SIA in the 1.8 mm group was statistically lower compared to the 2.2 mm group (p=0.046) and the 2.75 mm group (p=0.017). There was no significant difference between the 2.2 mm group and the 2.75 mm group.
Conclusions:
With the use of appropriate support systems, 1.8 mm incisions appear to result in less SIA than 2.2 mm and 2.75 mm incisions. Advantages may arise from this, especially in the implantation of aspheric, toric, or multifocal lenses.
