Abstract
The ultimate result of a cataract surgery is dependent on the optimal performance of each step of the procedure. The success of each step in turn depends on the steps preceding it. Wound construction in MSICS can be considered as a rate-limiting step of cataract surgery. An error in this step can spiral into the subsequent steps and also weigh adversely in the immediate post-op period.
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Notes
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Gives enough conjunctival surface to incise
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The conjunctiva and tenons will be a safe distance away from the scleral surface.
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Tangential inflicted cuts without proper vertical conjunctival traction can result inadvertent scleral injury.
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- 2.
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 Presence of tenons may cause irregular incision of variable depth along its extent. It also prevents smooth movement of the tunnel blade, which predisposes to septae within the tunnel.
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Obscurance caused by overhanging limbal epithelium and remnant tenons may also lead to incorrect depth assessment while tunneling.
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Acknowledgments
Dr.Sathish Devarajan who has contributed all the diagrams in this chapter.
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© 2016 Springer International Publishing Switzerland
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Haripriya, A., Singh, T.P., Nayak, D.P. (2016). Incision. In: Henderson, B. (eds) Manual Small Incision Cataract Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-24666-6_5
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DOI: https://doi.org/10.1007/978-3-319-24666-6_5
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