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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.
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




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














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