The first manual small incision cataract surgery (MSICS) case is a true rite of passage for any resident. Unlike phacoemulsification, … More
Tag: MSICS
2903: MSICS in pseudo-exfoliation
Manual Shelved-Incision Cataract Surgery (MSICS) is an excellent technique for eyes with pseudoexfoliation (PXF), particularly in global health settings where … More
2893: MSICS with Severe Zonulopathy
MSICS: Managing Total Bag Loss and ACIOL Placement When performing Manual Small-Incision Cataract Surgery (MSICS) on a dense white cataract, … More
2879: intra-capsular MSICS & scleral fixated IOL
In cases of severe phacodonesis, where zonular support is nearly non-existent, a standard extracapsular approach often risks complete lens dislocation. … More
2875: please stop using scissors for ECCE
Back when I was a resident (all old surgeons say those words…) my professors taught me to perform ECCE with … More
2864: learn with HelpMeSee’s Surgical Simulator
Revolutionizing Global Cataract Surgery: The HelpMeSee Training Model In this sponsored video on CataractCoach.com, we take a deep dive into … More
2812: fixing iris prolapse during MSICS
In Manual Small Incision Cataract Surgery (MSICS), iris prolapse usually stems from a pressure gradient where fluid trapped behind the … More
2786: from the smallest to the biggest
Yesterday on the CataractCoach Podcast (the top podcast in all of ophthalmology!) we featured Dr Rafael Vazquez Rojas from Mexico … More
2727: Morgagnian MSICS with a surprise
Manual Shelved-Incision Cataract Surgery (MSICS) is an excellent technique for managing Morgagnian cataracts due to its ability to handle liquefied … More
2629: resident surgeon MSICS technique
MSICS is so important to learn that around the world residents (beginner surgeons) are incorporating this technique into their skillset. … More
2628: small pupil MSICS without rings or hooks
I am so fortunate to travel extensively around the world to lecture in many countries and in most places surgeons … More
2620: two very challenging cataract cases
Our guest surgeon is Professor Ramesh Ayyala and in this video he presents two tough cataract cases which were performed … More
2545: dense cataract MSICS with a surprise
Our guest surgeon does a great job with this very difficult cataract surgery. This very elderly patient has a very … More
2476: transconjunctival MSICS
When performing a scleral incision, I like to do it in two layers: making a conjunctival peritomy first, then making … More
2475: MSICS with Pars Plana Vitrectomy
Our guest surgeon does a great combination case of removing a dense cataract with MSICS (manual shelved-incision cataract surgery) and … More
2460: MSICS with AC maintainer
When performing MSICS, does it help to have an AC maintainer providing constant infusion of balanced salt solution into the … More
2427: please stop doing ECCE with scissors
We all need to keep evolving our surgical techniques. You would never do a routine couching of a nucleus by … More
2401: capsulorhexis extension? MSICS now?
This is a remarkable case for two reasons: (1) there is the complication of capsulorhexis tear out in this white … More
2353: MSICS with a traction suture
I have long extolled the virtues of learning to perform MSICS, manual shelved incision cataract surgery, because it proves to … More
2299: first time ever performing MSICS
This video showcases the first time that an experienced phaco surgeon is trying the MSICS technique of whole nucleus extraction. … More
2285: traumatic cataract with iridodialysis
Traumatic cataracts are challenging because we are not often aware of the full extent of the damage to the delicate … More
2283: white cataract sutureless MSICS
Here at CataractCoach we have long extolled the virtues of MSICS: manual, shelved incision cataract surgery, where we make a … More
2249: very low cost MSICS & MIGS
To perform a phaco cataract surgery and a MIGS glaucoma surgery in a private surgery center is expensive. The phaco … More
2236: pre-chop the nucleus for MSICS
CataractCoach recommends that all cataract surgeons learn how to perform MSICS and we even have a video dedicated to showing … More
2180: MSICS for an opaque cataract
Today we are featuring another great case of MSICS, what I refer to as Manual Shelved Incision Cataract Surgery, where … More
2175: a fellow’s first MSICS case
I have encouraged my fellow USA ophthalmologists to learn how to perform MSICS: manual shelved incision cataract surgery. It is … More
2140: temporal MSICS for white cataract
Our international CataractCoach fans may be surprised to learn that the vast majority of USA cataract surgeons do not know … More
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
1943: another capsulorhexis runs out
This is a case of MSICS, which is important to learn even if you feel that you can “phaco anything” … 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
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
1441: converting from phaco to MSICS
Our guest surgeon is Jack Shao MD who is a faculty member at the Cole Eye Institute at the Cleveland … More