Manual Small Incision Cataract Surgery

Phacoemulsification is not the only method for performing SICS. Manual small incision techniques for cataract surgery are also available and may be more suitable for developing countries. Manual techniques like the phaco section can be performed through smaller incisions, most manual methods require 5.5 mm or larger incisions. The major advantage of phacoemulsification over manual techniques, therefore, is the ability to implant a foldable lens through a 3.5 mm incision. Phacoemulsification is an expensive, machine-dependent technique that requires considerable investment and recurrent expenses. Compared to a manual small incision, the eventual advantage of a foldable IOL through a 3.5 mm incision is a 0.3D reduction in induced astigmatism. This advantage has to be weighed against the costs involved in doing phacoemulsification with a foldable lens.

Especially in a developing country like India where 51 percent of all blindness is because of cataract, the benefits of a paradigm shift to SICS are justifiable as it offers early visual rehabilitation, less chances of surgical astigmatism and better uncorrected visual acuity as compared to ECCE - and at a lesser cost when compared to phacoemulsification.


Duration: One month

Course Outline
Supervised surgery: The trainee will be guided through the steps of manual SICS with one-on-one supervision by a faculty member (The steps may not necessarily be done on the same case). The faculty member will assist the trainee and teach not only regular surgery but also management of complications as and when they arise. The complications encountered will likely include those specific to manual SICS. There will be discussions with the trainee before, during, and after the procedure.

Independent surgery: A Senior fellow of the Institute will assist the trainee. The faculty member will be available in case any help is required. This shall be done for approximately 15 - 20 cases.

Session commences: Every month

Places available: One Slot at each center (3 Slots per month)

Qualifications: The applicant must be proficient Basics of Cataract Surgery (ECCE+IOL)

Selection: Selection is done on a first-come-first served basis. Some seats are reserved for candidates sponsored by NGOs.

Admission Procedure: Applications for the programs should be accompanied by a curriculum vitae as well as copies of certificates and also download the attached form for us to process the applications

Attachment - Application form

Next Slot Availability

Center Slot Available

For further details contact/Send the applications to
Mark Nathaniel Thadikonda and Vijayamma
Nannepaga Centre for Eye Care Education,
L V Prasad Eye Institute,
L V Prasad Marg, Banjara Hills,
Hyderabad - 500 034
Telephone: +91-40-3061 2567/2568

Fax: +91-40-2354 8271

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