Purpose of review: The purpose of this article is to highlight the major issues associated with bimanual microincisional cataract surgery and to review the recent literature addressing this subject.
Recent findings: Bimanual microincisional cataract surgery has been performed successfully using all of the major phacoemulsification platforms. Technological advances in ultrasound power management and fluidics have improved the safety profile and efficiency of this technique. New intraocular-lens designs and surgical maneuvers permit intraocular-lens insertion through corneal incisions measuring 2 mm or less. Clinical results achieved with bimanual microincisional cataract surgery and new microincision lenses are comparable to those obtained with conventional coaxial phacoemulsification and established intraocular lenses.
Summary: Bimanual microincisional cataract surgery is a promising surgical technique that continues to grow as phacoemulsification technology and intraocular-lens designs evolve.