Our international CataractCoach fans may be surprised to learn that the vast majority of USA cataract surgeons do not know … More
Category: MSICS
2093: MSICS for a dense white cataract
In the USA, most residency programs do not teach MSICS. Perhaps you may get a little experience with older style … More
2077: what is an intra-cap cataract surgery?
I received a couple of emails from young surgeons asking to explain the difference between intra-cap, extra-cap, and MSICS cataract … More
2072: you must know both MSICS and phaco
Back when I was a resident (I graduated in 2000), we were required to perform 10 manual extra-capsular cataract extractions … More
1979: MSICS in cases with softer cataract
There is no doubt that MSICS is a great procedure for a dense, brunescent, rock hard cataract. MSICS stands for … More
1919: converting from phaco to MSICS
All cataract surgeons will encounter cases of posterior capsule rupture during phaco. It is a known complication and can occur … More
1859: MSICS with iris & lens coloboma
This is a tough case of a dense cataract in a patient with an iris and lens coloboma. This means … More
1858: MSICS dense brunescent cataract
With a dense brunescent cataract, the beauty of MSICS is that no ultrasonic energy is needed to break apart the … More
1857: MSICS with lens snare / lens loop
We recently showed a video of a surgeon dividing the nucleus in half in the anterior chamber using a cystotome … More
1856: MSICS with temporal approach
While the most common location for the MSICS incision is superior, we can also make this incision at the temporal … More
1855: MSICS with small pupils & weak corneas
All this week we are featuring cases of MSICS: manual small incision cataract surgery. The incision is not all that … More
1834: phaco-section and then extraction
We have previously featured this technique (and this guest surgeon) which shows the phaco-section technique. In this case, using a … More
1733: Can you do MSICS without a peritomy?
Today I have more questions than answers. I enjoy performing the MSICS technique and even in our Beverly Hills surgical … More
1680: successful small pupil MSICS
Our guest surgeon has a lot of experience in performing MSICS, even in a tough case like this with a … More
1580: phaco surgeon does great MSICS
Our guest surgeon is a very experienced cataract surgeon and an expert at phaco, but he has decided to perform … More
1559: MSICS for weak K endothelium
Doing phacoemulsification surgery involves using ultrasonic energy and fluidic flow to break up and aspirate the cataract nucleus. Both the … More
1558: How ECCE is different from MSICS
When I was a resident ophthalmologist, we learned to do manual ECCE cataract surgery before moving to phacoemulsification. This manual … More
1476: ASCRS case 7: dense cataract tricks
Another great case from the 2022 ASCRS CataractCoach instructional course, this time focusing on dense cataracts. There are some good … More
1467: MSICS: new resident surgeon
This video shows a beginner surgeon in residency who is performing MSICS. I show you this video to encourage you … More
1466: MSICS: temporal incisions
Incisions for phaco surgery are usually made either temporal or superior. For MSICS, we typically make the incision superior because … More
1465: MSICS: bailout for rhexis runout
MSICS can be a great way to rescue a very difficult case. We recently presented a video of a master … More
1464: MSICS nucleus visco-expression
Our next video for MSICS week is showing the technique of visco-expression of the nucleus. It is important to avoid … More
1463: MISCS: optimizing the incision
I was speaking with a surgeon recently who stated that there was no need to learn MSICS because any nucleus … More