{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:34:01Z","timestamp":1787758441439,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>We describe a surgical technique for manual small-incision cataract extraction with 2-mm chord incision with phacofracture. The authors describe a curvilinear 2-mm chord incision 1.5 mm behind the limbus and antiparallel to the limbus with back cuts of variable length; 1.5 mm for foldable lenses and 2.5\u20133 mm for the rigid nonfoldable lenses. Continuous curvilinear capsulorhexis with a 26-G bent needle cystitome (or Utrata forceps) is followed by cortical cleaving hydrodissection and cartwheeling of the nucleus into the anterior chamber. A specially designed Sahu modified vectis (SMV) and a flattened visco cannula are used for the phacofracture. The heminuclei are removed along their longitudinal axis and direct implantation of the pseudophakos. Surgically induced astigmatism was found to be a mean change in astigmatism of 0.14 DCyl when the axis was ignored. Corneal endothelial counts were not vastly different from the routine manual small-incision and phacoemulsification at 3 months of follow-up. The technique used here by the surgeon for cataracts of any C (1\u20135) or any P (1\u20135) to grade NC4 NO4 as graded by the LOCS III. Case selection is of paramount importance. Two-millimeter chord MSICS with phacofracture can deliver low astigmatism and good visual recovery in cataract surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1287_22","type":"journal-article","created":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T10:52:06Z","timestamp":1667213526000},"page":"4070-4072","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Two-mm chord manual small-incision cataract surgery with phacofracture"],"prefix":"10.4103","volume":"70","author":[{"given":"Amulya","family":"Sahu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jatinder","family":"Bali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chinmaya","family":"Sahu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nilutparna","family":"Deori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-81-20240828","doi-asserted-by":"crossref","first-page":"1621","DOI":"10.1503\/cmaj.110549","article-title":"Cataract surgery","volume":"183","author":"Micieli","year":"2011","journal-title":"CMAJ"},{"key":"R3-81-20240828","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/S0146-2776(80)80071-1","article-title":"Clinical evaluation of the terry surgical keratometer","volume":"6","author":"Kratz","year":"1980","journal-title":"Am Intraocular Implant Soc J"},{"key":"R6-81-20240828","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.ajo.2006.07.023","article-title":"A prospective randomized clinical trial of phacoemulsification vs manual sutureless small incision extracapsular cataract surgery in Nepal","volume":"143","author":"Ruit","year":"2007","journal-title":"Am J Ophthalmol"},{"key":"R7-81-20240828","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1001\/archopht.1993.01090060119035","article-title":"The lens opacities classification system III","volume":"111","author":"Chylack","year":"1993","journal-title":"Arch Ophthalmol"},{"key":"R8-81-20240828","doi-asserted-by":"crossref","first-page":"1997","DOI":"10.4103\/ijo.IJO_308_22","article-title":"Early postoperative astigmatism in 2-mm manual small incision cataract surgery with phacofracture","volume":"70","author":"Sahu","year":"2022","journal-title":"Indian J Ophthalmol"},{"key":"R9-81-20240828","doi-asserted-by":"crossref","first-page":"1887","DOI":"10.1016\/S0161-6420(99)90397-4","article-title":"Low-cost high-volume extracapsular cataract extraction with posterior chamber intraocular lens implantation in Nepal","volume":"106","author":"Ruit","year":"1999","journal-title":"Ophthalmology"},{"key":"R10-81-20240828","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1016\/j.ophtha.2004.11.055","article-title":"Safety and efficacy of phacoemulsification compared with manual small- incision cataract surgery by a randomized controlled clinical trial:Six-week results","volume":"112","author":"Gogate","year":"2005","journal-title":"Ophthalmology"},{"key":"R11-81-20240828","first-page":"33","article-title":"A comparison of the effectiveness and cost effectiveness of three different methods of cataract extraction in relation to the magnitude of post-operative astigmatism","volume":"15","author":"Muralikrishnan","year":"2003","journal-title":"Asia Pacific J"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_1287_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:13:24Z","timestamp":1787757204000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_1287_22"}},"subtitle":["A brief exposition of the surgical technique"],"short-title":[],"issued":{"date-parts":[[2022,11]]},"references-count":8,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_1287_22","relation":{},"ISSN":["0301-4738"],"issn-type":[{"value":"0301-4738","type":"print"}],"subject":[],"published":{"date-parts":[[2022,11]]}}}