An ocular cutting device comprising: a housing having a motor positioned within the housing; an aspiration line; and a working end coupled to the aspiration line, the working end comprising: an outer sleeve member coupled in fixed relationship to the housing and having a proximal end and a distal end, the proximal end coupled to the housing, the distal end having first and second openings (36B, 36A), the first opening having a first cutting edge; and an inner sleeve member having a proximal end and a distal end, the inner sleeve member positioned within the outer sleeve member, the motor operatively coupled to the proximal end to move the inner sleeve member relative to the outer sleeve member, the inner sleeve member having a third opening with a second cutting edge wherein the first opening and third opening are configured to interact to cut tissue between the first and second cutting edges; and characterized in that the second opening of the outer sleeve member is configured to remain unobstructed by the movement of the inner sleeve member such that a vacuum applied to the working end through the aspiration line allows the second opening to hold a tissue mass at a first location of the tissue mass while the tissue mass is cut and removed by the working end at a second location of the tissue mass spaced from the first location. a housing having a motor positioned within the housing; an aspiration line; and a working end coupled to the aspiration line, the working end comprising: an outer sleeve member coupled in fixed relationship to the housing and having a proximal end and a distal end, the proximal end coupled to the housing, the distal end having first and second openings (36B, 36A), the first opening having a first cutting edge; and an inner sleeve member having a proximal end and a distal end, the inner sleeve member positioned within the outer sleeve member, the motor operatively coupled to the proximal end to move the inner sleeve member relative to the outer sleeve member, the inner sleeve member having a third opening with a second cutting edge wherein the first opening and third opening are configured to interact to cut tissue between the first and second cutting edges; and characterized in that the second opening of the outer sleeve member is configured to remain unobstructed by the movement of the inner sleeve member such that a vacuum applied to the working end through the aspiration line allows the second opening to hold a tissue mass at a first location of the tissue mass while the tissue mass is cut and removed by the working end at a second location of the tissue mass spaced from the first location. an outer sleeve member coupled in fixed relationship to the housing and having a proximal end and a distal end, the proximal end coupled to the housing, the distal end having first and second openings (36B, 36A), the first opening having a first cutting edge; and an inner sleeve member having a proximal end and a distal end, the inner sleeve member positioned within the outer sleeve member, the motor operatively coupled to the proximal end to move the inner sleeve member relative to the outer sleeve member, the inner sleeve member having a third opening with a second cutting edge wherein the first opening and third opening are configured to interact to cut tissue between the first and second cutting edges; and characterized in that the second opening of the outer sleeve member is configured to remain unobstructed by the movement of the inner sleeve member such that a vacuum applied to the working end through the aspiration line allows the second opening to hold a tissue mass at a first location of the tissue mass while the tissue mass is cut and removed by the working end at a second location of the tissue mass spaced from the first location.