For cataract surgeons last 30 years has been extremely rewarding, memorable and momentous. We got in one life time what our predecessors struggled to get, yet didn’t get, through centuries, a near natural eye following cataract surgery. Starting from intra capsular cataract surgery with threaded needle eye stitches to extra capsular with a traumatic suture, 7mm SICS to 3mm SICS, can opener capsular rhexis to CCC, basic Phaco emulsification to micro Phaco, to bimanual to cold Phaco to 0.7mm Phaco, what a roller coaster ride it was !!!. Changes came so fast both in technology and surgical skill innovation, learning and integrating all the changes to one’s system left no time to stop and think take stock of. Now when we are near the ultimate peak of cataract surgery achievement i.e. injectable IOL, it is time to stop look back, throw down bag gages not useful anymore like intra capsular surgery, stitch surgery.
A time has come to define position of MSICS in our journey to reach the peak. At present MSICS is being practiced by 70% of Ophthalmologist in India and in developing countries. Though in the developed countries the ratio has changed infavour of phaco emulsification, sizeable numbers of them still practice MSICS with many more showing interest and are willing to learn MSICS .
MSICS results are comparable to that by Phaco if not better, yet there is not a single forum where this silent majority can express themselves and share each others skill and knowledge.
ISMSICS is going to fill this vacuum and play a significant role in years to come
There are many surgeons in Bombay for that matter many other places who practice both Phaco emulsification and MSICS. If you listen to their experience they will always say, though Phaco emulsification has brought a revolution in cataract surgery, one is not a complete surgeon till one knows MSICS. So we strongly advocate every Ophthalmologist to learn MSICS, this skill will form the foundation on which Phaco surgical skill can be integrated.
MSICS surgeon is not a lesser surgeon that should be understood loud and clear. What the patient wants is a good sight and quick sight, Free from any kind of complications. Most of the time patient is not concerned by which method the surgeon is going to deliver that result. Technology is fine but the surgeon was, is, and will always remain in the center of surgery that point ISMSICS want to drive forcefully.
The purpose of ISMSICS is to bolster the courage and confidence of these surgeons and fine tune their skill by regular trainings courses and interactions. |