Classroom blog

28 March 2013 In MSICS 101

What's in your toolbox to accomplish what you need to do all your tricks of the trade?  Some of us have done MSICS surgery with a razor blade and blade breaker or a bunsen burner!  

At the MSICS Classroom, we hope to help each of you equip your toolbox with the right tools, right techniques and the best practices for becoming an efficient, quality surgeon in practically any situation that you are in.  This certainly is a challenge that is worthy of study and practice.

The community is full of many incredible resources in terms of ophthalmologists from all over the world who have extensive knowledge and practical expertise.  This is likely the most valuable asset in our toolbox that we hope to share.

In addition, don't hesitate to see some of the other tools that are present in our Classroom:

Extensive Video Library


Discussion Groups

Tips from beginners and pros

Global issues articles

Scientific articles

Mission opportunities

Volunteer Registry


27 March 2013 In Global Issues

sustain2The economics of running a successful program are worthy of study and discussion.  Dr. David Yorston of Moorfields Eye Hospital published an article on High-volume surgery in developing countries in 2005.

We now see more and more eye programs setting examples of growing volumes of surgery through high volume, efficient delivery of care.  Integration of phacoemulsification and premium lenses have helped programs recover economically and also enable caring for a large volume of low paying blind patients.  This has especially been true in India and Nepal but is being seen in Guatemala, Peru and other sites around the globe.  All eyes are on development of eye programs in Africa and China which appear to be the big challenges with regards to either supply of eye surgeons or volume and efficiency of delivery systems.


27 March 2013 In Sustainability


A very important consideration for eye care clinics and programs in developing nations is whether the services provided to the community can become financially sustainable in a reasonable period of time.  As there has been many resources dedicated to evaluating programs in their specific areas and making a plan for the long term success, we encourage use of organizations that may be able to provide this invaluable advice and insight such as the International Eye Foundation or CBMI.  



21 March 2013 In Tips from pros

Dr. Rengaraj Venketesh shares this very helpful video regarding how to get started doing MSICS.

20 March 2013 In Manuals

hcp-sics-bookThe Tilganga Eye Center has produced a "Standard Operating Procedure Manual For: Modern Small Incision Cataract Surgery (SICS)." This is a NON-Phaco procedure.

A special thanks to all ophthalmologists, Ophthalmic Assistants and management staff at Tilganga Eye Center who have been very supportive.  We would also like to thanks  the Himalayan Cataract Project and the Fred Hollows Foundation for their contributions.  We would like to mention a few individuals, who have given their time and effort in producing this Manual.


19 March 2013 In MSICS Basics

A basic instrument set for MSICS is fairly straight forward and more or less familiar to most cataract surgeons.

Although some sets have more instruments on them, the basic 9 instruments are as follows:

  • Lid speculum
  • Drape scissors
  • Wescott scissors
  • .12 forceps
  • Utrada forceps
  • Kelman IOL forceps
  • Irrigating lens vectis
  • Simcoe cannula
  • Sinske hook


19 March 2013 In Global Issues

editlogoThe MSICS Online Classroom was born in the spring of 2013 at the same time as the ASCRS Phaco Fundentals Classroom.  (   The Phaco Fundamentals Classroom was started to help address the critical shortage of skilled phaco surgeons world wide.

In concert with this effort, the Global Sight Alliance has launched the MSICS Online Classroom to participate in the global education of new cataract surgeons who must be trained to meet the exploding demands of aging populations throughout the world.  Manual small incision sutureless cataract surgery has clearly demonstrated itself as a very refined and highly improved adaptation of the original ECCE.  The results of this technique parallel the results of phacoemulsiification with the added benefit of a huge cost savings afforded by this elegant yet simple technique which is not dependent on high tech equipment.

The MSICS Online Classroom represents a collaboration of many many surgeons globally.  These surgeons are innovative, progressive and are pioneers in the global fight against cataract blindness.  We are indebted to the dedication of each surgeon and their teams who have contributed tirelessly to this educational effort.  

A well trained surgeon in this technique of cataract surgery along with a skilled and experienced team makes possible a highly efficient, low cost, high volume method of treating the masses of blind patients with advanced cataracts.  We challenge each physician who engages this website to take the time to learn either the procedure or something of how they can assist a clinic or hospital who is serving in this capacity around the world where the need is highest.  We believe that partnerships between developing world eye clinics and those more developed are important bridges to enhance both sides and to further the cause of eliminating unnecessary cataract blindness.  We invite your participation in this endeavor.


19 March 2013 In MSICS Blog

teaching 960 300

We are interested to know what your experiences are.  Our MSICS blog is for exactly that.  Our community will share about their experience with some of the following:

  • Your conversion to MSICS from phaco
  • MSICS options in residency
  • How you mix or choose phaco vs MSICS 
  • Financial sustainability for your particular clinic or hospital
  • Experience at any training centers such as Aravind, LV Prasad, Camp Diego, Lions SightFirst Eye Hospital, Mercy Ships
  • Favorite Tips


19 March 2013 In Sustainability

Geoff Tabin of University of Utah shares this video.

19 March 2013 In Contributor Highlights


  • + ClinicName: Visualiza
  • + Location:  Guatemala City, Guatemala
  • + Primary Surgery: SICS
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