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making sclerocorneal tunnels in "small incision cataract surgery" •Angular keratome: making sclerocorneal tunnels in "small incision cataract surgery"; larger one used to increase the size of the incision •Side-port blade: making sclerocorneal "side port" (a secondary tunnel) tunnels in "small incision cataract surgery" •Beer's knife
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 in small animals such as dogs and cats is a routine ophthalmic procedure with a success rate of around 90%, and is usually better for eyes with relatively recent cataract development. The presence of other ocular problems may reduce the success rate. Procedures are similar to those for humans.
The most widely used simulator for laparoscopic surgery today is the da Vinci Surgery Simulator. It is the newest way to practice these procedures that involves the surgeon in the surgery and control of the device. The simulator is a tutorial that prepares a surgeon for the real surgery at the da Vinci Surgical System. It contains real time ...
Cataract surgery by “couching” (lens depression) is one of the oldest surgical procedures. The technique involves using a sharp instrument to push the cloudy lens to the bottom of the eye. Perhaps this procedure is that which is mentioned in the articles of the Code of Hammurabi (ca. 1792–1750 BC) though it is a mere speculation.
Cataract surgery is generally performed by an ophthalmologist in an out-patient setting at a surgical centre or hospital. Local anaesthesia is normally used; the procedure is usually quick and causes little or no pain and minor discomfort. Recovery sufficient for most daily activities usually takes place in days, and full recovery about a month.