Step by Step: Small Incision Cataract Surgery
Anita Panda MD FAMS FICS MRC (OPTH)
Professor of Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences
New Delhi, India
Tanuj Dada MD
Assistant Professor, Clinical Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences
New Delhi, India
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
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Step by Step Small Incision Cataract Surgery
© 2006, Anita Panda, Tanuj Dada
All rights reserved. No part of this publication and 2 interactive CD ROMs should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the authors and the publisher.
First Edition: 2006
9788180615924
Typeset at JPBMP typesetting unit
Dhan Dhan Satguru Tera Hi Asra
Dedicated to the revered Sufi Saint
Hazoor Maharaj Gurmeet Ram Rahim Singh Ji
Dera Sacha Sauda Ashram, Sirsa, Haryana
PREFACE
Manual Small Incision Cataract Extraction has become the state of art surgery for management of age-related cataracts in many developing countries. It is a surgical procedure that is easy to master, safe, faster than a conventional ECCE and an effective method which delivers optimal visual results comparable to phacoemulsification with less chance of complications and no additional cost of instruments or machinery. It also serves as an optimal technique for use during the conduction of cataract surgery eye camps where a large volume of patients can be operated with good visual results in a short time.
In developing countries many surgeons are not trained to perform phacoemulsification and there is also a scarcity of phacoemulsification equipment due to financial constraints. Most surgeons are still performing conventional Extracapsular Cataract Surgery and there is an urgent need to shift towards Manual Small Incision Cataract Surgery which offers much better results in a shorter time.
Although large textbooks have been written on manual small incision cataract surgery, it is difficult for the trainee surgeon to decipher useful information from these large texts. This book has been conceived to provide the reader with a video-assisted instruction course on “how to do a manual small incision cataract surgery,” covering each step 6of the surgical procedure. Each surgical detail has been explained in the text and added as a video-clip to enable the reader to actually perform the maneuver during surgery. We hope that this handbook will serve as a useful practical manual for residents and practicing ophthalmologists and help them in performing manual SICS with expertise.
We would like to thank Prof Supriyo Ghose, Chief, Dr RP Centre for Ophthalmic Sciences for his constant support, encouragement and guidance.
Anita Panda
Tanuj Dada
7Acknowledgements
We wish to express our heartfelt gratitude towards Dr Hariminder K Rai, one of the best senior residents ever to cross the gates of Dr RP Centre for Ophthalmic Sciences, without whom this book would not have been possible.
We would like to acknowledge the time and sincere effort put in by Dr Munish Dhawan and Dr Charu Dutt in preparation of the manuscript and the video recording.
We wish to thank Dr Aditya Arora, CMO, Parampita Shah Satnam Singh Ji General Hospital, Sirsa, Haryana for initiating many of us into manual SICS surgery during eye camps.
We also wish to thank Prof SP Garg, Prof Rajpal, Dr Harinder Sethi, Dr Rajamani Muralidhar, Dr Anand Aggarwal, Dr Arvind, Dr Makrant, Dr Ashish, Mr Ramesh, Mr Lalmani and especially our artist Mrs Shakti Mahajan for helping us at all the times during preparation of the manuscript.