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©The Author(s) 2025.
World J Methodol. Dec 20, 2025; 15(4): 104529
Published online Dec 20, 2025. doi: 10.5662/wjm.v15.i4.104529
Published online Dec 20, 2025. doi: 10.5662/wjm.v15.i4.104529
Table 1 Search terms for the present review
Number | Search term |
1 | Manual small incision cataract surgery |
2 | Cataract surgery |
3 | Cataract extraction |
4 | Ocular anesthesia |
5 | Sclerocorneal tunnel |
6 | Capsulotomy |
7 | Hydrodissection |
8 | Hydroprolapse |
9 | Nuclear rotation |
10 | Viscoelastic substances |
11 | Viscoexpression |
12 | Snare |
13 | Nucleofractis |
14 | Nuclear bisection |
15 | Trisection |
16 | Cortex |
17 | Hydroimplantation |
18 | Irrigation |
19 | Aspiration |
20 | Posterior capsule rupture |
21 | Vitreous loss |
22 | Endophthalmitis |
Table 2 Key Differences between manual small incision cataract surgery and phacoemulsification
Criterion | Manual small incision cataract surgery | Phacoemulsification |
Anesthesia | Peribulbar, subtenon, topical augmented with subtenon | Topical, peribulbar, subtenon, topical augmented with intracameral |
Superior rectus bridle suture | Optional | Not required |
Conjunctival peritomy | Optional | Not required |
Incision size | 2-12 mm | Usually < 3 mm |
Anterior capsulotomy | Can-opener, envelope, CCC | CCC |
Viscoelastics | Usually low viscosity dispersive or cohesive | High viscosity dispersive required for harder cataracts |
Nuclear removal | Wire vectis, Blumenthal, viscoexpression, hydroexpression, Fishhook, snare (nuclear fragmentation) | Ultrasonic emulsification and aspiration |
Cortex removal | Simcoe cannula and modifications | Coaxial or bimanual automated, simcoe cannula less commonly |
Machine dependence | No | Yes |
Overall costs | Lower | Higher |
- Citation: Nishant P, Singh A, Morya AK, Alam MA, Sinha S. Manual small incision cataract surgery: An ergonomic solution to tackle cataract backlog and challenging situations. World J Methodol 2025; 15(4): 104529
- URL: https://www.wjgnet.com/2222-0682/full/v15/i4/104529.htm
- DOI: https://dx.doi.org/10.5662/wjm.v15.i4.104529