Purpose of review: A working knowledge of the principles guiding recent technologic upgrades in phacoemulsification units will help the surgeon to maximize clinical benefits from the latest machines.
Recent findings: Reduced thermal energy combined with more efficient emulsification resulting from microfractionation of ultrasound energy, and improved chamber stability from automatic fluidic adjustments are achievable with the recent technological advances.
Summary: Improved safety and efficiency can be achieved with the most current advances in phacoemulsification technology.