Over the past two decades, innovations and advances in phacoemulsification have helped to improve surgical outcomes for millions of patients, with fewer complications and faster visual rehabilitation. However, the high cost associated with this technology limits its use throughout the developing world, where the majority of cataract-blind people live. The need to provide high-quality, low-cost cataract surgery to underserved patients in underdeveloped countries has fostered innovations in sutureless, non-phaco surgical techniques and novel refinements in the delivery of surgical services. This sutureless, non-phaco technique, termed manual small-incision cataract surgery (MSICS), provides excellent results for even the most advanced and challenging cataracts. This Focal Points module outlines the provision of high-volume cataract surgery and reviews the surgical techniques used throughout the developing world.
Upon completion of this Focal Points module, you should be able to:
- Describe the manual small-incision cataract surgery (MSICS) technique.
- Discuss the potential complications and expected outcomes of MSICS compared to other surgical techniques.
- Outline the keys to delivering high-volume surgery in the developing world.
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The American Academy of Ophthalmology designates this enduring material for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Once you have completed this Focal Points module, please visit CME Central to review or claim your CME.