ABSTRACT
In this chapter, I would like to describe a small incision manual technique which I have used since 1985. It involves “sandwiching” the nucleus out between a lens loop and spatula. This technique uses an incision of 7.0 mm. It can be used with capsulorhexis or with any other type of capsulotomy, such as can-opener. This 7.0 mm “frown” incision is self-sealing in the majority of cases, and does not require a suture. This larger incision does give more astigmatic shift than a 3.0 mm phaco incision, however this can be of benefit if one operates on the steep axis of K.
