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Manual small incision cataract surgery. Manual small incision cataract surgery (MSICS) is an evolution of extracapsular cataract extraction (ECCE); the lens is removed from the eye through a self-sealing scleral tunnel wound. A well-constructed scleral tunnel is held closed by internal pressure, is watertight, and does not require suturing.
Cataract surgery is the most common application of lens removal surgery, and is usually associated with lens replacement. It is used to remove the natural lens of the eye when it has developed a cataract, a cloudy area in the lens that causes visual impairment. [ 4][ 10] Cataracts usually develop slowly and can affect one or both eyes. [ 4]
Cataracts cause 51% of all cases of blindnessand 33% of visual impairmentworldwide. [3][9] Cataracts are most commonly due to agingbut may also occur due to traumaor radiation exposure, be present from birth, or occur following eye surgery for other problems. [1][4]Risk factors include diabetes, longstanding use of corticosteroidmedication ...
Cataracts cause the lens of the eye to become cloudy over time, but if they are left untreated, they can lead to complete blindness. While cataracts are unable to spread from one eye to another ...
In 1753, Samuel Sharp performed the first-recorded surgical removal of the entire lens and lens capsule, equivalent to what became known as intracapsular cataract extraction. The lens was removed from the eye through a limbal incision. [1] At the beginning of the 20th century, the standard surgical procedure was intracapsular cataract ...
Couching (ophthalmology) "Couching for cataract"; Wellcome Collection illustration of Indian doctors performing the technique. Couching is the earliest documented form of cataract surgery. It involves dislodging the lens of the eye, thus removing the cloudiness caused by the cataract. Couching was a precursor to modern cataract surgery and pars ...
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