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Chapter-35 When and How to Convert?

BOOK TITLE: Small Incision Cataract Surgery (Manual Phaco)

Author
1. Singh Kamaljeet
ISBN
9788184489804
DOI
10.5005/jp/books/11358_35
Edition
2/e
Publishing Year
2010
Pages
2
Author Affiliations
Chapter keywords

Abstract

The surgeon should never mind converting from SICS to conventional ECCE in case of intraoperative complications. The choice of surgery, i.e. conventional ECCE, SICS or Phaco is immaterial, as long as the ultimate visual recovery is good. There are certain preoperative conditions where one should not plan SICS like very old age, low endothelial cell count, Fuchs dystrophy, small pupil, black cataract, uveitis etc. There are certain intraoperative complications where we must not hesitate to convert, e.g. small pupil, premature entry, difficulty in nucleus prolapse etc. PCR is best managed in closed chamber using vitrectomy.

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