Conversion from Phacoemulsification to MSICS

  • John Welling
  • John Y. Kim
  • Maria M. AaronEmail author


While phacoemulsification is considered the gold standard of cataract extraction in the developed world, certain intraoperative situations may necessitate cataract removal by alternative manual methods. Indications for conversion to manual cataract extraction may include very dense nucleus requiring prolonged phacoemulsification, posterior extension of capsulorhexis, posterior capsular tear, zonular loss, shallow anterior chamber, miosis, corneal thermal burn, or equipment malfunction [1]. In the developed world, the traditional practice under such circumstances has been to convert to extracapsular cataract extraction (ECCE). Over the past decade, however, the successful implementation of MSICS for high quality, low-cost cataract surgery in the developing world has generated increasing interest in its use even in developed settings when phacoemulsification may be unsafe or unavailable.


Conversion Phacoemulsification Manual Small Incision Cataract Surgery 


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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Emory UniversityDeKalb CountyUSA
  2. 2.OphthalmologyEmory UniversityDeKalb CountyUSA

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