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Phacoemulsification is the most commonly performed cataract procedure in the developed world, [18] but the high capital and maintenance costs of a phacoemulsification machine and of the associated disposable equipment, have made ECCE and MSICS the most commonly performed procedures in developing countries. [2] Cataract surgery is commonly done ...
Cataract surgery using intracapsular cataract extraction (ICCE) has been superseded by phacoemulsification and MSICS over time and is now rarely performed.[2] ECCE has largely become a contingency procedure to deal with complications during surgery - This is all a bit confusing. The first paragraph makes it seem there are two major surgical ...
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.
This may occur in the event of posterior capsule rupture, zonular dehiscence, [Note 1] or a dropped nucleus [Note 2] with a nuclear fragment more than half the size of the cataract; [2] problematic capsulorhexis with a hard cataract; [2] or a very dense cataract where phacoemulsification is likely to cause permanent damage to the cornea. [2]
Cataract surgery could improve visual outcomes for people with AMD, though there have been concerns about surgery increasing the progression of AMD. A randomized controlled trial found that people who underwent immediate cataract surgery (within two weeks) had improved visual acuity and better quality of life outcomes than those who underwent ...
As of 2023, the cataract-surgery rate in South Africa is less than half of the estimated requirement of at least 2,000 per million population per year needed to eliminate cataract blindness. [ 19 ] [ 20 ] In 2011, Lecuona and Cook identified an inadequate level of human resources in the public sector to provide care for the indigent population ...