Medical Missions for Surgical Training

Medical Missions for Surgical Training

Author: Stan Pletcher, MD  Source: Cataract & Refractive Surgery Today  This article discusses the pros and cons of using medical missions as training opportunities for ophthalmologists. There are multiple reasons why these missions are not recommended for learning Small Incision Cataract Surgery (SICS). Alternatively, when appropriate procedures and guidelines are followed, mission trips can be valuable learning experiences. The article also mentions various training opportunities for…

Lessons All Cataract Surgeons Can Learn From the Developing World

Author: David Chang, MD Source: Cataract & Refractive Surgery Today Written by Dr. David Chang for Cataract & Refractive Surgery Today, this article highlights how creative thinking can help to address the most difficult problems that cataract surgeons encounter. Approaches that are used by cataract surgeons in the developing world can be applied to first-world practices. The article touches on the following topics:…

Focal Points, Cataract Surgery in the Developing World

Authors: Geoffrey C. Tabin, MD and Michael R. Feilmeier, MD  Source: American Academy of Ophthalmology  This is a thorough, step-by-step overview of the Manual Small Incision Cataract Surgery (MSICS) technique, written for the American Academy of Ophthalmology. It covers the following topics: scope of the problem, patient selection and preoperative management, delivery of high-volume surgery, how to perform the technique, comparison of outcomes between traditional techniques and MSICS,…

A Small Solution to a Significant Problem

Author: M. Scott Hickman, MD Source: The Ophthalmologist This article was written in 2018 by SEE International’s Medical Director and MSICS Level 1 course instructor, Dr. Scott Hickman. As a comprehensive article about the benefits of Small Incision Cataract Surgery (SICS), this piece includes a step by step guide to performing the technique. SICS is a suture-less cataract surgery that allows for a significantly faster healing process, one of the many advantages the…

Step-by-Step: Intratunnel Phacofracture

Author: Sudhir Singh, MS  Source: Cataract & Refractive Surgery Today  This article outlines the surgical steps of intratunnel phacofracture, which is “a variation of Manual Small Incision Cataract Surgery (MSICS) that can reduce induced astigmatism.” In this nucleus management technique, “the lens nucleus is broken inside a sub−6-mm sclerocorneal tunnel and removed.” When performing intratunnel phacofracture, the steps involving nucleus removal “take place inside the corneoscleral tunnel,” whereas when performing other nucleotomy techniques, these steps take…

Why You Must Learn MSICS

Author: Amar Agarwal, MS, FRCS, FRCOphth  Source: Cataract & Refractive Surgery Today  This article touches on the various reasons why cataract surgeons should be comfortable with the Manual Small Incision Cataract Surgery (MSICS) technique. Knowing manual incision techniques such as MSICS or Extracapsular Cataract Extraction (ECCE) can be useful for complicated cases, or when phacoemulsification is too dangerous. Additionally, many of the skills needed for MSICS transfer from phaco surgery, making MSICS relatively easy for…

Managing Pseudoexfoliation During Manual Small-Incision Cataract Surgery

Authors: Stephen Lau, MBChB (Hons); David Khorram, MD; Allison Jarstad, DO; and Matt Oliva, MD  Source: Cataract & Refractive Surgery Today  This article discusses the prevalence of psuedoexfoliation syndrome (PXF) in various parts of the world. The high incidence of PXF in people with cataracts may reflect the tendency of individuals with PXF to develop cataracts. The article also outlines some useful tips on how…