Describes the status of Manual Small Incision Cataract Surgery today

1. Manual small Incision Cataract
Surgery (MSICS) Today
NSD Raju

2. No Financial Interest

3. Introduction
• MSICS Has Come of age
• MSICS Vs PHACO

4. Phaco as Choice Procedure
for cataract surgery
• Topical anesthesia
• Outpatient Surgery
• No injection no patch
• Back to work in couple of days
• Rapid Visual rehabilitation

5. Evolution of MSICS
• Phaco an expensive procedure not cost effective
• Outcome in hard cataract often unsatisfactory
• Long learning period
• High volume surgery as in camps not practical
• Surgery takes more time as against MSICS

6. Evolution of MSICS
• Standard technique
• Regular topical insufficient
• Mostly Peribulbar or modified peribulbar
• Caruncular
• Local infiltration
• Subtenon infusion

8. Incision

9. Sheets Glide

11. IOL implantation

12. • SOME Advances and modiications in MSICS technique

13. Shaping frown Incision

14. Blumenthal A C Maintainer

15. Temporal Incision

16. Other Advances in MSICS
• Topical MSICS
• Enhanced topical anesthesia

17. Paracaine - soaked Merocel Pledget

18. No Stitch no Patch MSICS

19. Recent Advances continued
• Smaller Incisions 3- 4 mm
• Phaco fracture including intra tunnel fracturing
• Control and management of astigmatism
• Inducing multifocality
• Research work is already going on

20. International Society of Manual Small Incision
Cataract Surgeons
• India as a leader in MSICS
• Played a decisive role in popularizing MSICS Globally
• Established in 2005
• MICS constitute 70% of Cataract surgery in our country

21. ISMSICS International Conferences
• Indonesia
• Philippines
• Egypt
• China
• Sweden
• ISMSICS collaborated with Prevention of Blindness Program in India

22. First World Conference on MSICS at Pune
2015
• This World Conference showed India to be the power house of MSICS
• More than 15 countries participated in the Conference
• The Conference was a great success

23. • Conclusion

24. Thank You