Cataract surgery has undergone significant changes beginning with the abandonment of intracapsular surgery, and continuing with the advent of intraocular lenses, and continuing variations in extracapsular lens removal. Extracapsular cataract surgery employing a 10mm incision at the limbus and requiring wound closure with sutures is considered a “fall back” technique that is easier to perform but has limitations. Phacoemulsification is used by most surgeons in developed countries and enables the most elegant surgery but at a high cost. A third technique, manual small incision cataract surgery (MSICS), retains most of the advantages of “phaco” but can be delivered at lower cost and is more readily applied in high volume programs. In the following, “Phaco” and manual small incision cataract surgery are compared and then a step-by-step description of the MSICS is presented.
Authors: Ravi Thomas, MD and Prashant Garg, MD
Editors: Eugene M. Helveston, MD and D. Hunter Cherwek, MD