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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 and IOL implantation have the safest and highest success rates of any eye care-related procedures. As with any type of surgery, however, some level of risk remains. [7] Most complications of cataract surgery do not result in long-term visual impairment, but some severe complications can lead to irreversible blindness. [90]
Cataract surgery in Bedele, Ethiopia. Cataracts are the main cause of blindness in Africa, and affect approximately half of the estimated seven million blind people on the continent, a number that is expected to increase with population growth by about 600,000 people per year. As of 2005, the estimated cataract-surgery rate was about 500 ...
Age-related cataracts usually start to form around age 40, but many adults don’t notice the cloudiness in their vision until age 60; for some people, it’s even later.
A minority of patients may regain low or moderate visual acuity, but over 70% are left clinically blind with worse than 20/400 vision. [4] A Nigerian study showed other complications include secondary glaucoma, hyphaema, and optic atrophy. [5] Couching does not compare favourably to modern cataract surgery.
This method of surgery reduced the need for an extended hospital stay and made out-patient surgery the standard. Patients who undergo cataract surgery rarely complain of pain or discomfort during the procedure, although those who have topical anaesthesia, rather than peribulbar block anaesthesia, may experience some discomfort. [8]
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