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Manual Small Incision Cataract Surgery :

WHEN & HOW TO CONVERT TO CONVENTIONAL ECCE

Indications

hard nucleus
rigid, small pupil
capsulozonular complications

Cut the edges of tunnel till limbus & extend on either side

Complete the procedure and then apply sutures

Better to convert whenever you are in trouble

Conversion to conventional ECCE

Temporal section vs. superior section

We in SRIKIRAN conducted a study comparing temporal section/superior section. 100 cases, from camp, k-readings by the same person. Surgeries done by the same surgeon. 50 cases temporal section, 50 cases superior section.

Results

temporal section astigmatically better
if preop > 1D of against the rule temporal section helps

Click here to see a video of our routine phaco technique

Click here to see a video of our routine manual SICS

Manual SICS and phaco both are good. Our choice is in the best interest of the patient.

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