title: An innovation of manual small incision cataract surgery (MSICS: A Technique) for advanced cataract disease in Thailand.
abstract: OBJECTIVE
  Described a new surgical technique of manual small incision cataract surgery (MSICS: A technique), analyze the outcome and complications.
  
  
  METHODS
  The present study was retrospective and non-comparative. The advanced (mature and brunescent) cataract patients were operated with a new surgical technique of manual small incision cataract surgery (MSICS: A technique). Data was collected from medical records between October 2011 and September 2013 at Prasat Neurological Institute. The records of 30 advanced cataract eyes that received surgery were reviewed. The clinical data of visual acuity (VA), pre- and post-operative astigmatism, intraoperative, and post-operative complications, andfollow-up from day 1, 5, 28, and 90post-operative days were collected
  
  
  RESULTS
  Thirty eyes of 25 patients were operated with MSICS (A technique). Post-operative BCVA results were 20/20 or better in 12 eyes (40%), 20/25 to 20/70 in 16 eyes (53.3%), 20/80 to 20/160 in one eye (3.3%), and 20/200 or worse in one eye (3.3%). The different astigmatism was (pre- minus post-operative astigmatism) 0.58±1.12 diopters, range -1.75 to 3.25, 95% CI 0.16-0.99 (p<0. 01). No major surgical complication was found
  
  
  CONCLUSIONS
  The new MSICS (A technique) can be recommended as a safe alternative cataract surgery for mature and brunescent cataract disease in developing countries.
authors: Amporn
authors: A
authors: Jongsareejit
authors: Siripom
authors: S
authors: Saenghirun
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001251:Astigmatism; D002387:Cataract Extraction / Q000379:methods*; D003906:Developing Countries; D005260:Female; D006801:Humans; D007908:Lens, Crystalline / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D011183:Postoperative Complications; D012189:Retrospective Studies; D013785:Thailand; D035703:Therapies, Investigational / Q000379:methods*; D014792:Visual Acuity