Technique for Shortening a Long Clear Corneal Incision | Cataract and Other Lens Disorders | JAMA Ophthalmology | JAMA Network
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Viscoelastic is inserted into the intrastromal tunnel.

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Surgical Technique
Surgeon's Corner
Dec 2012

Technique for Shortening a Long Clear Corneal Incision

Author Affiliations

Author Affiliations: Department of Ophthalmology, University of California (Drs Menda, Chen, and Naseri) and Department of Ophthalmology, San Francisco Veterans Affairs Medical Center (Dr Naseri), San Francisco, California.

Arch Ophthalmol. 2012;130(12):1589-1590. doi:10.1001/archophthalmol.2012.2536

An optimal clear corneal incision creates a self-sealing intrastomal tunnel. Variability in incision length may pose surgical difficulties for subsequent phacoemulsification. An incision that is too long may lead to challenges including decreased instrument mobility, decreased visibility due to corneal striae, stromal hydration, and a difficult angle of approach to the cataract. These sequelae may lead to surgical complications or abandonment of the original incision. We describe a technique for shortening a long clear corneal incision with the intentional creation of a flap of corneal tissue at the posterior internal wound edge. This technique is a simple and quick modification that may avoid the pitfalls of an incision that is too long.