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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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Cataract And Small Pupil Management Manual Techniques

Small Pupil And Cataract Management Techniques BOOK
ISBN: 9798201201784

 

Posterior Polar Cataract Management: My Approach | Universal Book Links Help You Find Books at Your Favorite Store! (books2read.com)

Posterior Polar Cataract

ISBN: 9798201084349
 

 

 

Join SICS Club group is formed  on telegraph for active discussion

White Intumescent Cataract Management: My Approach

Whatie Intumescent Cataract Management Book

ISBN: 9798201376215
 

 

 

SICS CLUB

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

 

 

 

 

 

 

 

 

 

 

 

 

 

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