Surgeries performed through the small incisions give a possibility to minimize a number of complications, to reduce rehabilitation period, to get good functional results.

A technique of ultrasound phacoemulsification is effective for performing small incision cataract surgery in eyes with soft and medium nucleus, but not effective enough for hard cataract extraction. A new laser machine "Racot" created by the Institute of Fine Mechanics and Optics (St-Petersbourg) allows to destroy cataracts with any degree of hardness.

Nd:YAG-laser with the wavelength of 1, 44 mcm and the energy of pulses 10-500 mJ is used. Two separate special designed tips - laser and irrigation-aspiration are used. The nucleus is destroyed with bowl and division into fragments technique. The irrigation-aspiration pompe removes the lens fragments in the process of laser bucking. Flexible Intra ocular lens is inserted without changing the incision' s size.