A medical instrument is disclosed, comprising a tubular member with proximal and distal ends. The distal end of the tubular member provides an elongated section having a substantially constant outside diameter of no more than 23-gauge (about 0.57 mm). The tubular member is in energy communication with an emulsification energy source disposed to deliver emulsification energy at the distal end of the tubular member. The tubular member may also be in suction communication with a suction source disposed to deliver suction at the distal end of the tubular member. The medical instrument may be used in a method to remove lens fragments from the eye, through incisions in the eye that are small enough not to require suturing after the operation.