Two-mm chord manual small-incision cataract surgery with phacofracture: A brief exposition of the surgical technique

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dc.contributor.authorSahu, Amulyaen_US
dc.contributor.authorBali, Jatinderen_US
dc.contributor.authorSahu, Chinmayaen_US
dc.contributor.authorDeori, Nilutparnaen_US
dc.date.accessioned2023-08-25T06:35:12Z
dc.date.available2023-08-25T06:35:12Z
dc.date.issued2022-11
dc.description.abstractWe describe a surgical technique for manual small-incision cataract extraction with 2-mm chord incision with phacofracture. The authors describe a curvilinear 2-mm chord incision 1.5 mm behind the limbus and antiparallel to the limbus with back cuts of variable length; 1.5 mm for foldable lenses and 2.5�mm for the rigid nonfoldable lenses. Continuous curvilinear capsulorhexis with a 26-G bent needle cystitome (or Utrata forceps) is followed by cortical cleaving hydrodissection and cartwheeling of the nucleus into the anterior chamber. A specially designed Sahu modified vectis (SMV) and a flattened visco cannula are used for the phacofracture. The heminuclei are removed along their longitudinal axis and direct implantation of the pseudophakos. Surgically induced astigmatism was found to be a mean change in astigmatism of 0.14 DCyl when the axis was ignored. Corneal endothelial counts were not vastly different from the routine manual small-incision and phacoemulsification at 3 months of follow-up. The technique used here by the surgeon for cataracts of any C (1� or any P (1� to grade NC4 NO4 as graded by the LOCS III. Case selection is of paramount importance. Two-millimeter chord MSICS with phacofracture can deliver low astigmatism and good visual recovery in cataract surgery.en_US
dc.identifier.affiliationsDepartment of Ophthalmology, Sahu Eye Hospital and Kamal Nethralay Pvt Ltd., Mumbai, Maharashtra, Indiaen_US
dc.identifier.affiliationsOphthalmologist In-Charge, Narela Polyclinic, North Delhi Municipal Corporation Delhi, Indiaen_US
dc.identifier.affiliationsDepartment of Ophthalmology, Sri Sankaradeva Nethralaya, Guwahati, Assam, Indiaen_US
dc.identifier.citationSahu Amulya, Bali Jatinder, Sahu Chinmaya, Deori Nilutparna. Two-mm chord manual small-incision cataract surgery with phacofracture: A brief exposition of the surgical technique. Indian Journal of Ophthalmology. 2022 Nov; 70(11): 4070-4072en_US
dc.identifier.issn1998-3689
dc.identifier.issn0301-4738
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/224709
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber11en_US
dc.relation.volume70en_US
dc.source.urihttps://doi.org/10.4103/ijo.IJO_1287_22en_US
dc.subject2-mm incisionen_US
dc.subjectastigmatismen_US
dc.subjectchord incisionen_US
dc.subjectmanual small-incision cataract surgeryen_US
dc.subjectphacofractureen_US
dc.titleTwo-mm chord manual small-incision cataract surgery with phacofracture: A brief exposition of the surgical techniqueen_US
dc.typeJournal Articleen_US
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