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Manual Small Incision Cataract Surgery Step By Step

1.Fornix Based Conjunctival Flap

 

 Step 2 : Cautary

 

Step 3: Corneo Scleral Tunnel Construction

 

Step 4: Capsular Staining

 

Step 5:Capsulorhexis

 

Step 6: Hydro-dissection

 

Step 7 :Nucleus Prolapse In  The Anterior Chamber

 

 Step 8 : Tunnel  Enlargement

 

Step 9 : Nucleus Management by Intratunnel Phacofracture Technique

 

 Step 10: Cortical Clean Up By Irrigation And Aspiration

 

Step 11: IOL Implantation

 

Step 12: Anterior Chamber Wash

 

Step 13: Conjuctival Flap Reposition

 

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Intratunnel Phacofracture Technique
Intratunnel phacofracture technique is the new technique of the manual small incision cataract surgery (MSICS).In this technique nucleus is broken inside the 4to 6 mm wide sclero-corneal tunnel with the help of the Lewis lens loop.MSICS is significantly faster, less expensive, and less technology-dependent than phacoemulsification and has been extensively practiced in developing countries such as India. However, the drawback of most commonly practiced MSICS techniques Blumenthal, viscoexpression, irrigating wire vectis, and fish-hook needle is that they all require a large incision of 7 to 9 mm, which leads to induced astigmatism.This technique was inovated by Dr Sudhir Singh1,2.
References
1.Singh S. First postoperative day visual outcome following 6 mm manual small incision cataract surgery using intratunnel phacofracture technique. US Ophthalmic Review. 2014;7(1):26-30.
2.Singh Sudhir. Step-by-step: Intratunnel Phacofracture. Cataract & Refractive Surgery Today Europe | MAY 2016:48-51
 

 
 
4 mm Intratunnel Phacofracture Manual Small Incision Cataract Surgery (MSICS) Video

 

Intratunnel Phacofracture Technique  In Difficult Cataracts Cases Scenario

 

Manual Small Incision Cataract Surgery (MSICS or Manual SICS) Video

 

 

 

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Join SICS Club group is formed  on telegraph for active discussion
 

SICS CLUB

Manual Small Incision Cataract Surgeon forum on Telegram for discussion, sharing experience, literature and surgical videos and more.. 

 

 

 

 

 

 

 

 

 

 

 

 

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