Snare assisted manual small-incision cataract surgery: Single solution for any grade of cataract

Cataract surgery is constantly evolving with new techniques, machines, and procedures entering the lexicon. With the modernization, the cost of surgery is increasing with respect to the surgeon, patient, and the society. Early rehabilitation with modern minimal access techniques reduces the societal...

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Main Authors: Anil M Shah, Arpit A Shah, Jatinder Bali, Aarti Heda
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=11;spage=4057;epage=4059;aulast=Shah
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author Anil M Shah
Arpit A Shah
Jatinder Bali
Aarti Heda
author_facet Anil M Shah
Arpit A Shah
Jatinder Bali
Aarti Heda
author_sort Anil M Shah
collection DOAJ
description Cataract surgery is constantly evolving with new techniques, machines, and procedures entering the lexicon. With the modernization, the cost of surgery is increasing with respect to the surgeon, patient, and the society. Early rehabilitation with modern minimal access techniques reduces the societal cost of intervention. Manual small-incision surgery is simple, safer, and cheaper when contrasted with the cost and steep learning curve of machine-driven surgeries. A nucleus of a normal size is 6 mm, which can be bisected; 3 mm longitudinal fragments can be removed through 3.5 to 4.5 mm incision, and a large nucleus of 9.0 mm can trisected and removed through 3.5 to 4.5 mm. The limbal tunnel incision is 3.5 mm, which is close to 2.8 mm phacoincision, so it gives all the advantages of modern phacosurgery. The search of an ideal technique for manual phaco-fragmentation leads us to this specially designed snare (designed by the first author AS) which can tackle any grade nucleus. The nucleus can be bisected or trisected with ease. The technique has been around for 2 decades. There is a small learning curve. The complications are few and can be minimized with practice and simulation. It is a safe, valid, repeatable, and generalizable surgical procedure.
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spelling doaj.art-bb6e32b0e41648179b56ab580fa559f42022-12-22T03:41:43ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892022-01-0170114057405910.4103/ijo.IJO_2193_22Snare assisted manual small-incision cataract surgery: Single solution for any grade of cataractAnil M ShahArpit A ShahJatinder BaliAarti HedaCataract surgery is constantly evolving with new techniques, machines, and procedures entering the lexicon. With the modernization, the cost of surgery is increasing with respect to the surgeon, patient, and the society. Early rehabilitation with modern minimal access techniques reduces the societal cost of intervention. Manual small-incision surgery is simple, safer, and cheaper when contrasted with the cost and steep learning curve of machine-driven surgeries. A nucleus of a normal size is 6 mm, which can be bisected; 3 mm longitudinal fragments can be removed through 3.5 to 4.5 mm incision, and a large nucleus of 9.0 mm can trisected and removed through 3.5 to 4.5 mm. The limbal tunnel incision is 3.5 mm, which is close to 2.8 mm phacoincision, so it gives all the advantages of modern phacosurgery. The search of an ideal technique for manual phaco-fragmentation leads us to this specially designed snare (designed by the first author AS) which can tackle any grade nucleus. The nucleus can be bisected or trisected with ease. The technique has been around for 2 decades. There is a small learning curve. The complications are few and can be minimized with practice and simulation. It is a safe, valid, repeatable, and generalizable surgical procedure.http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=11;spage=4057;epage=4059;aulast=Shahmanual small-incision cataract surgerysnare
spellingShingle Anil M Shah
Arpit A Shah
Jatinder Bali
Aarti Heda
Snare assisted manual small-incision cataract surgery: Single solution for any grade of cataract
Indian Journal of Ophthalmology
manual small-incision cataract surgery
snare
title Snare assisted manual small-incision cataract surgery: Single solution for any grade of cataract
title_full Snare assisted manual small-incision cataract surgery: Single solution for any grade of cataract
title_fullStr Snare assisted manual small-incision cataract surgery: Single solution for any grade of cataract
title_full_unstemmed Snare assisted manual small-incision cataract surgery: Single solution for any grade of cataract
title_short Snare assisted manual small-incision cataract surgery: Single solution for any grade of cataract
title_sort snare assisted manual small incision cataract surgery single solution for any grade of cataract
topic manual small-incision cataract surgery
snare
url http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=11;spage=4057;epage=4059;aulast=Shah
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AT jatinderbali snareassistedmanualsmallincisioncataractsurgerysinglesolutionforanygradeofcataract
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