3015: Learning MSICS as a beginner
Mastering Manual Small Incision Cataract Surgery (MSICS) is an essential skill for anterior segment surgeons, offering a highly efficient and cost-effective technique, particularly for ultra-dense or advanced cataracts. In this video, a young resident surgeon demonstrates excellent control while learning the fundamentals of MSICS, performing a smooth, well-executed expression of a dense nucleus through a properly constructed sclero-corneal tunnel. Developing early proficiency with key steps such as creating a self-sealing tunnel architecture, prolapsing the nucleus into the anterior chamber, and utilizing fluidics for nuclear delivery gives trainees an invaluable alternative when phacoemulsification may not be suitable. If only this resident was given a better disposable crescent blade and keratome. Watch the video to see this resident’s impressive technique and surgical progression. At what stage of surgical training do you think residents should begin learning MSICS, and what are your best teaching tips for constructing the ideal sclero-corneal tunnel? Please comment your thoughts below.
