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Chapter-18 Micronicision Cataract Surgery

BOOK TITLE: Clinical Ophthalmology: Medical and Surgical Approach

Author
1. Doctor Kumar J
2. Hingoruni Chanda
ISBN
9789350250044
DOI
10.5005/jp/books/11246_18
Edition
2/e
Publishing Year
2011
Pages
4
Author Affiliations
1. Doctor Eye Institute, Spenta Mansion, Ist floor, SV Road, Andher (W), Mumbai, Doctor Eye Institute, Mumbai, India, Doctor Eye Institute, Spenta Mansion, SV Road, Andheri (West) Mumbai, India, Doctor Eye Institute, Spenta Mansion, 1st Floor, SV Road, Andheri (West), Mumbai, India, Doctor Eye Institute, Spenta Mansion, SV Road, Andheri (West), Mumbai, India, Doctor Eye Institute, Spenta Mansion, SV Road, Andheri (W), Mumbai, India, Doctor Eye Institute Pvt Ltd Spenta Mansion, Mumbai, Doctor Eye Institute, Spenta Mansion, 1st Floor, S.V. Road, Andheri (West), Mumbai, India, 11F No 369 Sec 2 Chang Gung Rd. Nei-Hu, Doctor Eye Institute, Spenta Mansion,1st floor, SV Road, Andheri (W), Mumbai 400 058, Doctor Eye Institute, Spenta Mansion SV Road, Andheri (W), Mumbai-400058, India, Doctor Eye Institute, Spenta Mansion, SV Road, Andheri (West), Mumbai-400058, Maharashtra, India, Doctor Eye Institute, Spenta Mansion, First Floor, SV Road, Andheri (West), Mumbai, India, Doctor Eye Institute Spenta Mansion, 1st Floor SV
2. Mumbai, Maharashtra, India
Chapter keywords

Abstract

The term microincision cataract surgery (MICS) was created by Jorge Alio in 2001, aiming to identify a specific trend of cataract surgery towards incisions of less than 2 mm. The technique is known as microincision or bimanual microincision or phakonit or microphako. MICS can be performed with different types of instruments with different types of energy, using different instruments, but ultimately involves three main issues: (i) To decrease the incision size to the minimum level now, in real practice, in the range of 19–21 gauge. (ii) To make a global transformation of the surgical procedure towards minimal aggressiveness. (iii) To separate the functions of irrigation and aspiration through two independent incisions handled bimanually. Today, the average MICS incision is 1.7 mm and the lower limit is 0.7 mm (21- gauge). We now have lenses that can be implanted through sub 2.0 mm incisions, although lenses that will fit through a sub 1 mm incision are not yet available.

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