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The most commonly used procedures are phacoemulsification and manual small incision cataract surgery (MSICS). In either of these procedures, it can sometimes be necessary to convert to ECCE to deal with a problem better managed through a larger incision. [14]
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.
At the beginning of the 20th century, the standard surgical procedure was intracapsular cataract extraction (ICCE). [7] In 1949, Harold Ridley introduced the concept of implantation of the intraocular lens (IOL), which made visual rehabilitation after cataract surgery a more efficient, effective, and comfortable process. [1]
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This procedure leaves sufficient capsule to hold the lens in place, but removes enough to allow light to pass directly through to the retina. Serious side effects are rare. [ 65 ] Posterior capsular opacification is common and occurs following up to one in four operations, but these rates are decreasing following the introduction of modern ...
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