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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, also called lens replacement surgery, is the removal of the natural lens of the eye that has developed a cataract, an opaque or cloudy area. [1] The eye's natural lens is usually replaced with an artificial intraocular lens (IOL) implant.
Capsulotomy (BrE /kæpsjuː'lɒtəmi/, AmE /kæpsuː'lɑːtəmi/) [1] is a type of eye surgery in which an incision is made into the capsule of the crystalline lens of the eye. In modern cataract operations, the lens capsule is usually not removed.
If this does not help, surgery to remove the cloudy lens and replace it with an artificial lens is the only effective treatment. [1] Cataract surgery is not readily available in many countries, and surgery is needed only if the cataracts are causing problems and generally results in an improved quality of life. [1] [11] [4] [12]
Cataract extraction following refractive surgery poses special problems for the patient and the surgeon because the corneal change as a result of refractive surgery complicates accurate keratometry, a key element of lens implant power calculation. After laser refractive surgery for myopia, this could result in overestimation of corneal power ...
The intraocular lens did not find widespread acceptance in cataract surgery until the 1970s, when further developments in lens design and surgical techniques had come about. As of 2021, approximately four million cataract procedures take place annually in the U.S. and nearly 28 million worldwide, a large proportion in India.
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