title: Nucleus management with irrigating vectis.
abstract: The main objective in modern cataract surgery is to achieve a better unaided visual acuity with rapid post-surgical recovery and minimal surgery-related complications. Early visual rehabilitation and better unaided vision can be achieved only by reducing the incision size. In manual small incision cataract surgery (MSICS), incision is between 5.5 to 7 mm. Once the nucleus is prolapsed into the anterior chamber, it can be extracted through the tunnel. Nucleus extraction with an irrigating vectis is a very simple technique, which combines mechanical and hydrostatic forces to express out the nucleus. This technique is time-tested with good results and more than 95% of nuclei in MSICS are extracted in this way offering all the merits of phacoemulsification with the added benefits of having wider applicability, better safety, shorter learning curve and lower cost.
authors.affiliation: Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, 1, Anna Nagar, Madurai - 625 020, India. s.aravind@aravind.org
authors.forename: Aravind
authors.initials: A
authors.lastname: Srinivasan
mesh_terms: D002387:Cataract Extraction / Q000379:methods*; D006801:Humans; D007907:Lens Nucleus, Crystalline / Q000601:surgery*; D008866:Microsurgery / Q000379:methods*; D007507:Therapeutic Irrigation / Q000379:methods