Ten Pearls for Mastering Small Incision Cataract Surgery
Small incision cataract surgery (SICS) is a prevalent technique in all the high volume centres of India as it is faster, gives excellent visual outcome and is much cheaper than phacoemulsification. Tip no. 1. Do a thorough pre-operative assessment and try selecting ideal cases It is mandatory to perform a proper pre-operative assessment of the patient. Helps in preparing the surgeon to anticipate complications and plan the operation accordingly. Tip No.2. Try to achieve adequate size, shape & couture of the incision Scleral Incision We usually make a frown incision 6mm long and 2mm away from limbus with the help of a 15 number blade. Beginners however may start with a straight incision before transitioning to frown. The incision should be made within the astigmatic neutral funnel. To remain astigmatically neutral, incisions closer to the limbus need to be smaller and longer incisions may be constructed further from the limbus. The incision should be placed on the steep meridian accordi
Prof. Kamaljeet Singh · Dr. Pranav Saluja