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Manual Small Incision Cataract Surgery: Experience at a Military Hospital.

K N Jha¹, D P Vats²

¹Classified Specialist (Ophthalmology), CH(CC), Lucknow.

Medical Journal, Armed Forces India

|July 2, 2016

Summary

Manual small incision cataract surgery (SICS) with intraocular lens (IOL) implantation is an effective alternative to phacoemulsification, especially where advanced equipment is unavailable. This study demonstrates good visual outcomes with SICS.

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Area of Science:

Ophthalmology
Surgical Techniques

Background:

Phacoemulsification is standard for small incision cataract surgery.
Manual small incision cataract surgery (SICS) offers an alternative when phacoemulsification is not accessible.

Purpose of the Study:

To evaluate the efficacy of manual small incision cataract surgery (SICS) with intraocular lens (IOL) implantation.
To compare SICS outcomes with phacoemulsification.

Main Methods:

69 cataract cases underwent manual SICS with a 6mm straight incision and IOL implantation.
Surgical techniques and postoperative results were compared to phacoemulsification.

Main Results:

Average postoperative astigmatism was ± 0.75 diopters.

Keywords:

Extra Capsular Cataract Extraction (ECCE)Intraocular lens implantation Manual Small Incision Cataract Surgery (SICS)Phacoemulsification

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71.9% of patients achieved uncorrected visual acuity of 6/18 or better within one week post-surgery.

Conclusions:

Both phacoemulsification and SICS with IOL implantation are effective cataract surgery methods.
SICS with IOL implantation is a valuable option in resource-limited settings.