SICS Tunnel Construction with Oblique Limbal Stab Incision and its Effectiveness in Self-Sealing, Nucleus Delivery and Astigmatism - Minimal Duration Cataract Surgery

Abstract

Manual small incision cataract surgery SICS is very versatile surgery as it is easily modifiable, needs minimal instruments, no equipment dependence, can be performed quickly and at very low cost. The technique can be further simplified by constructing a limbo-corneal tunnel with controlled stab incision obliquely at the posterior limbus without superior rectus stitch, conjunctival flap or cautery. It reduces the overall surgical time to 9-12 minutes by eliminating many avoidable surgical steps and related complications. The technique has the advantages of both the approaches (scleral tunnel for SICS and corneal pocket for phaco) with comparable induced astigmatism than superior incision and better AC manipulations. Limbal incisions heal faster and resist more deformation pressure than cornea. The technique is comfortable to perform and visual outcome is equally good.

A Comparative Study of Anatomic and Functional Outcomes of Two Surgical Techniques of Cataract at Lome

“…In order to evaluate the new surgical cataract technique (MSICS) which is a variant of ECCE sutureless, a prospective, monocentric, descriptive and analytical study has been conducted. This methodology has also been used by some authors either to be compared to MSICS or ECCE with phacoemulsi ication [3,5,8,9,[11][12][13][14].…”

“…Visual acuity on D45 does not re lect the inal visual acuity of the operated eye especially with ECCE, which requires suf icient perspective to stabilize the astigmatogen effect of sutures. Some authors evaluated visual acuity 6 or 12 weeks postoperative [4,5,8,[11][12][13][14][15][16]. The ablation of sutures was done on D30 of postoperative in G1.…”