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Abstract
Cataract surgery had passed through a lot of phases since its invention starting from intracapsular , extracapsular , phacoemulsification and modified by manual small incision cataract surgery.( Roman S, et al 1997).
Phacoemulsification has become a routine procedure for cataract extraction in most parts of the world. In order to obtain the advantages of a self-sealing sutureless incision at a low cost, ophthalmologists in the developing world are performing manual small incision cataract surgery (SICS) as an alternative. High astigmatism is an important cause of poor uncorrected visual acuity after cataract surgery.( Prajna NV et al 1998) . [1],[2]
In manual small incision cataract surgey , extracapsular cataract extraction has been modified to have a smaller incision of 6.5 mm instead of 10 mm incion which allow this incision to close spontaneously , hence sutureless incision
This technique gained its popularity from its lower costs and lower learning curve , with avoidance of suturing the wound and consecutively abolishing the sutures related complications . .(Henning A,et al 2002)
The sutureless technique provides a rapid visual recovery and a return to normal life the day after surgery. However, the long-term visual outcome might not be different to sutured cataract surgery.11 Other major advantages are a stable, watertight wound without suture-related problems. The surgical time is short and the cost of consumables reduced. It has proved a very suitable technique for high volume, low cost and good result cataract surgery.