Ten Pearls for Tunnel Construction in SICS
SICS is the most commonly performed cataract surgery by young budding surgeons. Young postgraduates are introduced to the world of ophthalmological surgery via SICS. Initially, every new surgeon struggles to make good scleral tunnel and capsulorhexis. These TOP TEN pearls will make young surgeons confident to achieve textbook tunnel. 1. Good Visualization: If you can see well, you can do well. Proper exposure of working field is a must. So, focus on to make adequate Conjunctiva and tenon’s dissection, avoid pooling of blood with judicious cautery and don’t let saline or visco to pool. Fig.1 Adequate Scleral exposure for tunnel construction 2. Superior rectus bridle suture: Mind the rectus It is probably one of the most important step in SICS. It is the first step any beginner surgeon learns, but it has not been given the due credit. It is a hidden player in tunnel construction. Furthermore, it provides the globe with sufficient traction and support to construct the tunnel seamlessly. 3
Dr. Rohit Rao · Dr. Patel Bhavin