Bimanual phacoemulsification/MICS (microincision cataract surgery) is an emerging alternative to standard coaxial phacoemulsification. The technique uses 2 separate incisions: one incision for sleeveless phacoemulsification and the other for irrigation. This allows smaller incision sizes than conventional phacoemulsification. Because chopping techniques need to be mastered, the procedure is intended for advanced phacoemulsification surgeons.
Bimanual Phaco provides a very thorough discussion of nearly all aspects of the procedure. Surgical technique and fluidics are compared with standard coaxial phacoemulsification. Chopping techniques conducive to MICS are discussed. The reader is also instructed on the use of specialized instruments and newer phacoemulsification machine technology that works well with bimanual phacoemulsification.
Bimanual Phaco: Mastering the Phakonit/MICS Technique. Arch Ophthalmol. 2006;124(3):433. doi:10.1001/archopht.124.3.433