![]() ![]() The contemporary MSICS technique most commonly employed is based on the method that Ruit et al first described in 1999. Surgical Technique & History of Procedure Recent studies have shown comparable outcomes and complication rates between patients undergoing phacoemulsification and MSICS with posterior chamber intraocular lens placement. In resource-poor settings, MSICS also has several distinct advantages over phacoemulsification, including shorter operative time, less need for technology, and lower cost. Compared to traditional ECCE, MSICS has the advantage of a self-sealing sutureless wound. Manual small-incision cataract surgery (MSICS also SICS or SECCE) is a low-cost, small-incision form of extracapsular cataract extraction (ECCE) that is principally employed in the developing world. 2 Surgical Technique & History of Procedure.
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