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in this video iamp;#39;d like to share with you a new concept a concept of varying the size of the siteboard parasynthesis incision depending on what stage of the phacoemulsification procedure youamp;#39;re at the main aim of doing this is to be able to achieve a stable anterior chamber throughout the facial emulsification procedure this patient with pseudo-exfoliation and a grade two to three nuclear sclerosis is posted for cataract surgery letamp;#39;s understand the instruments a little more closely the 2.8 keratometry remains quite standard this is a biplaner clear corneal incision and as long as the surgeon goes straight in and straight out thereamp;#39;s no question of any change in the width of the incision letamp;#39;s now move to understand what should be the correct sizing of both the parasynthesis incisions the next incision that i create on the left is the one which i use for irrigation aspiration alone now this incision has to be at least large enough to allow for a 2