Low Ultrasound Micro-incision Cataract Surgery LUS-MICS
Jorge L. Alio, Ahmed Galal, Jose-Luis Rodriguez Prats, Mohamed Ramzy
University Miguel Hernandez, Alicante, Spain
Summary: Microincisional cataract surgery (MICS) is to be considered the latest evolution of modern cataract surgery. Microincisions should be defined as those that allow cataract surgery with intraocular lens implantations through incisions of 1.5 mm or less. A better use of the instrumentation, new improved surgical instruments, improved knowledge of the fluidics, especially the use of high vacuum, better use of low ultrasound phacoemulsification or lasers allow to remove cataracts up to grade 5 with incision sizes that are more controllable, using less phacoemulsification power and decreasing the surgically induced astigmatism. We are at the beginning of a technique that finally will allow us to create a safer surgical environment with significantly smaller use of phacoemulsification power inside the eye and a new generation of intraocular lenses that will fit into the MICS concept. To the level of today's development, MICS offers a better alternative to the practical surgeon for the surgical practice. The future will make MICS to progress towards further improvements in instrumentation and phacoemulsification techniques and new generations of intraocular lenses.