Berrones D, Rocha-de-Lossada C, Barraquer-Compte E, Valvecchia G, Fernández J
Fundación Elena Barraquer, Barcelona, Spain; Asociación para Evitar la Ceguera en México, IAP, Mexico.
Fundación Elena Barraquer, Barcelona, Spain; Qvision, VITHAS Hospital, Almería, Spain; Vithas Málaga, Málaga, Spain; Hospital Regional Universitario de Málaga, Málaga, Spain; Departamento de Cirugía, Área de Oftalmología, Universidad de Sevilla, Seville, Spain.
Arch Soc Esp Oftalmol (Engl Ed). 2025 Feb;100(2):91-97. doi: 10.1016/j.oftale.2024.12.014. Epub 2024 Dec 26.
The aim of this article has been, on the one hand, to describe the use of MSICS (manual small incision cataract surgery) for the management of cataracts, especially mature ones, in relation to its particular utility in the field of humanitarian campaigns, for which a description of the MSICS technique has been made, subsequently a review of the available scientific literature has been carried out to verify the results of this technique in comparison with phacoemulsification and extracapsular surgery and to describe the importance of teaching this technique to all cataract surgeons, especially the ones participating in humanitarian campaigns. According to what has been found, MSICS is an excellent surgical technique and according to current evidence it seems to be the choice over phacoemulsification and/or the classic extracapsular technique in hyper mature cataracts, especially in the field of humanitarian campaigns, due to its lower rate of complications and the improvement in visual acuity obtained. According to the studies found, it would be possible for the experienced ophthalmologic surgeon to implement this technique since the learning curve is short. In addition, in the scenario of humanitarian campaigns, the cost per surgery and the surgical time are reduced. It can be concluded that MSICS should be part of the surgical repertoire of every cataract surgeon, especially in those who perform surgeries in humanitarian campaigns, since it provides shorter surgical time, lower cost and better results in complex cases.
本文的目的一方面是描述手法小切口白内障手术（MSICS）在白内障治疗中的应用，尤其是成熟白内障，阐述其在人道主义活动领域的特殊用途，并对MSICS技术进行了描述，随后对现有科学文献进行了综述，以验证该技术与超声乳化手术和囊外手术相比的效果，并说明向所有白内障外科医生，尤其是参与人道主义活动的医生传授该技术的重要性。根据研究结果，MSICS是一种出色的手术技术，根据目前的证据，在超成熟白内障中，尤其是在人道主义活动领域，由于其并发症发生率较低且视力改善效果良好，它似乎是优于超声乳化和/或经典囊外技术的选择。根据所发现的研究，经验丰富的眼科外科医生有可能采用该技术，因为学习曲线较短。此外，在人道主义活动的情况下，每次手术的成本和手术时间都会降低。可以得出结论，MSICS应成为每位白内障外科医生手术技能的一部分，尤其是那些参与人道主义活动手术的医生，因为它在复杂病例中提供了更短的手术时间、更低的成本和更好的效果。
