Title: Surgical Technique of Manual SICS-A Review

Authors: P.Ramya, S.Manavalan, P.Mishra, V.Sridevi, M.Ramya and G.Ramakrishnan

 DOI:  https://dx.doi.org/10.18535/jmscr/v4i10.95

Abstract

Our aim is to describe and present the various steps involved in performing Manual SICS with special attention to the wound construction i.e the sclerocorneal tunnel. Wound construction plays a major role in MSICS and forms the backbone on which the successful completion of subsequent steps of capsulorrhexis, hydroprocedure and nucleus delivery depend on. The considerable handling inside the anterior chamber during nucleus delivery increase the chances of iris injury, striate keratitis, and posterior capsular rupture. Proper understanding of the various steps involved in the successful completion of MSICS can go a long way in preventing iatrogenic complications and achieving good visual outcomes.

Keywords: Sclerocorneal tunnel, Capsulorrhexis, Hydroprocedures, MSICS, IOL.

References

1.                  Pallin SL. Self-sealing incision. In: Agarwal S, Bonnett R, Agarwal A, editors. Phacoemulsification. London: Taylor and Francis; 2004. pp. 199-204.

2.                  Mishra P. Incision in Non Phaco SICS. Orissa State Oph J. 2002:30–2.

3.                  Koch PS. Mastering phacoemulsification A simplified manual of strategies for the spring, crack and stop and chop techniq-ue. 4th ed. Thorofare,NJ: Slack; 199zz p. 19.

4.                  Basti S, Vasavada AR, Thomas R, Padhmanabhan P. Extra capsular cataract extraction: Surgical techniques. Indian J Ophthalmol. 1993;41:195–210.

5.                  Schroeder B. Sutureless cataract extrac-tion: complications and management; learning curves. Community Eye Health J. 2003;16:58–60.

6.                  Haldipurkar SS, Gokhale VN. Astigmatic Considerations in SICS. J International Soc Manual Small Incision Cataract Surgeons. 2005 Nov 01;:46–8.

7.                  Gokhale NS, Sawhney S. Reduction in astigmatism in manual small incision cataract surgery through change of incision site. Indian J Ophthalmol. 2005; 53:201–3.

8.                  Alpesh R Shah, Abhay R Vasavada. Extracapsular cataract extraction and IOL implantation. Dutta LC(Ed):Modern Ophthalmology, Jaypee brothers, New Delhi;2002;1:367-377

9.                  Fine IH. Cortical cleaving hydrodissection. J Cataract Refract Surg 1992;18:508-12.

10.              Assia E, Blumenthal M, Apple DJ. Hydrodissection and viscoextraction of the nucleus in planned extracapsular cataract extraction. Eur J Implant Ref Surg 1992;4:3-8.

11.              Krag S, Thim K, Corydon L. The stretching capacity of capsulorrhexis: An experimental study on animal cadaver eyes. Eur J Implant Ref Surg 1990;2:43-5.

12.              Thim K, Krag S, Leif C. Stretching capacity of capsulorrhexis and nucleus delivery. J Cataract Refract Surg 1991;17:27-31.

13.              Assia EI, Apple DJ, Tsai JC, Lim ES. The elastic properties of the lens capsule in capsulorrhexis. Am J Ophthalmol 1991;111:628-732.

14.              Tana P, Belmonte J. Elasticity of the capsulorrhexis and delivery of the nucleus. Eur J Implant Ref Surg 1993;5:103-8.

15.              Vasavada A, Desai J. Capsulorrhexis: Its safe limits. Indian J Ophthalmol 1995;44:185-90.

16.              Kamaljeet Singh. Small Incision Cataract Surgery (Manual Phaco) 2nd  edition, Jaypee brothers, New Delhi;2010;126.

17.              Outcome of Cataract Surgery in Nigeria: Visual Acuity, Autorefraction, and Optimal Intraocular Lens Powers—Results from the Nigeria National Survey Clare E. Gilbert, Selvaraj Sivasubramaniam, Gudlavalleti V.S. Murthy, Raj Maini, Mansur M. Rabiu, Abdullahi U. Imam Ophthalmology. 2011; 118(4): 719

18.              Cataract surgery in developing countries Khanna, R., Pujari, S., Sangwan, V. Current Opinion in Ophthalmology. 2011; 22(1): 10-14

19.              A Synopsis of Cataract Surgery in Children Richard W. Hertle Techniques in Ophthalmology. 2011; 9(4): 107

20.              Analysis of cataract surgery in Eastern Fengxian community of Shanghai under NCMS Zhou, Y., Zou, X.-R., Zhu, Z.-R. International Journal of Ophthalmology. 2011; 11(12): 2196-2199

21.              Patients experiences and preferences with co-managed care in a cataract Pathway Van Vliet, E.J., Reus, N.J., Sermeus, W., Vissers, J.M.H., Sol, J.C.A., Lemij, H.G. British Journal of Ophthalmology. 2010; 94(10): 1363-1368

22.              A synopsis of cataract surgery in children Hertle, R.W. Techniques in Ophthalmology. 2011; 9(4): 107-113

23.              A Synopsis of Cataract Surgery in Children: Richard W. Hertle Techniques in Ophthalmology. 2010; 8(3): 94

24.              Comparison of the efficacy of extracapsular cataract extraction combined with intraocular lens implantation by two kinds of converse frown and trapezoidal scleral small incision Shen, L.-X., Cai, J.-L., Huang, C.-L., Guo, J. International Journal of Ophthalmology. 2010; 10(6): 1061-1063

25.              Extracapsular cataract extraction with less incision versus the conventional performed by residents | [Cirugía de extracciónextracapsular de catarata con incisiónpequeña versus convencional, realizadasporresidentes] Arrazola-Vázquez, J.C., Morfín-Salido, I.L., Moya-Romero, J.O. Revista Mexicana de Oftalmologia. 2010; 84(1): 25-29

26.              Efficacy and efficiency of a lean cataract pathway: A comparative study Van Vliet, E.J., Sermeus, W., Van Gaalen, C.M., Sol, J.C.A., Vissers, J.M.H. Quality and Safety in Health Care. 2010; 19(6): 13

27.              Thrasher BH, Boerner CF. Control of astigmatism by wound placement. J Am Intraocul Implant Soc. 1984;10:176–9.

28.              Gautam AK, Nath R, Kumar D, Saxena S. Early re-establishment of blood aqueous barrier after Phacoemulsifica-tion. Indian J Ophthalmol. 1998; 46: 173–4.

29.              S SHaldipurkar, Hasanain T Shikari, Vishwanath Gokhale. Wound construc-tion in manual small incision cataract surgeryIndian J Ophthalmol: 2009;57:9-13.

Corresponding Author

P.Ramya