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Manual Small Incision Cataract Surgery also known as
manual phaco or MSICS. This is the most
cost effective cataract cataract extraction method
with consistent very good visual outcome.We are
demonstrating a real small incision 5.5 mm in this
video. (You have seen a lot of SICS video at youtube
but there incision size more than 8 mm). All types
of cataracts (hard cataract,posterior polar
cataract, mature cataract, hypermature cataract) can
be operated by this method. Because we are breaking
nucleus in the tunnel and taking out in the pieces.
The breaking of the nucleus is done in the tunnel,so
cornea is spared form the injury. Most of the cases
having bright clear cornea and 20/30 or better
vision on the first post operative day.
Parameters
1. Incision Site
Superotemporal
2. Incision Size
Posterior width of the scleral tunnel - 5.5 mm
Distance of posterior incision from the limbus was
1.5 mm
Anterior width of the scleral tunnel - 7.0 mm
Distance of the entry point in AC from the limbus -
1.5 mm
3.Cataract
Type - Nuclear Cataract
Nucleus Hardness Grade 3
Nucleus Diameter 8 mm
4.Viscoelastics
Hydro Propyl Methyl Cellulose 2% (HPMC)
5.Irrigating Solution
Ringer Lactate
6.Dye used
Trypan blue not used
7.Capsulotome
26 G needle capsulotome
8.Lens Dilor
Sinsky Hook
9.Wire Vectis Used
Levis lens loop
Appasamy Associates Catalogue No AA 1915
10.I & A Simcoe Canula
23 G Irrigating/Aspirating Cannula original model
(Direct) aspiration through silicone tube &
irrigation through main hub
Dr Sudhir Singh
Sr Consultant & HOD
Global Hospital & Research Centre
Mount Abu
India 307501
Visiting Senior Consultant Ophthalmologist
Global Institute Of Ophthalmologist
Abu Road 307510
resp2020@gmail.com
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