This is a case of a cataract with extensive synechiae due to prior uveitis. The eye is quiescent now, with no signs of inflammation for months, but the vision is very poor due to the dense cataract and the pupillary membrane. The decision is made to perform cataract surgery and the manual small-incision technique (SICS) is preferred by our guest surgeon. While phacoemulsification would allow a smaller incision than SICS, it requires far more equipment and has a much higher cost. This can be an issue for many patients and for many surgeons. This SICS technique works well and the patient achieves a good outcome.
Click to learn how our guest surgeon manages this uveitic cataract with SICS: