This course offers a comprehensive and in-depth exploration of Manual Small-Incision Cataract Surgery (MSICS), a surgical modality of substantial global relevance and clinical efficacy. Designed for ophthalmologists with foundational to advanced experience in cataract surgery, this educational activity delves into critical aspects of MSICS, emphasizing contemporary practices for patient safety, surgical optimization, and complication management across a diverse spectrum of clinical presentations.
Participants will acquire insights into pain prevention strategies, advanced manipulation techniques, and nuanced approaches to large capsulorhexis and nuclear prolapse execution. The module rigorously addresses the safe management of nuclear fragments, and extends its focus to address intraoperative challenges such as poor pupil dilation, shallow anterior chambers, and the handling of dense cataracts, soft cataracts, and posterior subcapsular cataracts. It further provides detailed discussions on managing complications including premature wound entry, button-holing, iris prolapse, dropped nucleus, hyphema, and specific scenarios like the argentinian flag and ocular trauma. Through a series of detailed case reviews and targeted discussions, this course aims to refine surgical acumen, enhance procedural resilience, and contribute to improved visual outcomes and patient satisfaction in complex cataract surgery.
AUTHORS
Jeffery J. Rutgard, MD, MS
REVIEWERS
Robert Fintelmann, MD, FACS; Janice A. Gault, MD; Jennifer Kim, MD; Audrey D. Schwarzbein, MD; Alexander R. Shusko, Jr., MD
RELEASE
July 1, 2025; expires July 1, 2028
OBJECTIVE
To enhance the ophthalmologist’s comprehensive approach to Manual Small-Incision Cataract Surgery (MSICS), encompassing advanced techniques, patient management, complication mitigation, and the application of MSICS in diverse global and clinical contexts.
DISCLOSURES
The authors and reviewers report no financial relationships with commercial interests. All relevant financial relationships have been mitigated.
AUDIENCE
Ophthalmologists with basic or intermediate experience in cataract surgery. This module is particularly beneficial for those looking to refine their MSICS techniques, enhance patient safety, and manage complex cases more effectively.
ACCREDITATION
The American Academy of Ophthalmology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The American Academy of Ophthalmology designates this enduring material for a maximum of 15 AMA PRA Category 1 Credit™ for the totality of the Manual Small-Incision Cataract Surgery: Technique, Safety, Risk Management, and Optimization course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
HARDWARE/SOFTWARE REQUIREMENTS
This learning activity requires a current web browser and broadband connection.
