{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:30:21Z","timestamp":1787772621291,"version":"build-2784847793"},"reference-count":7,"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>Cataracts with coexisting corneal opacities due to various causes present a daunting challenge to surgeons. Adding to the plight could be factors like shallow anterior chamber, small pupil and mono-ocular patient. A manual small-incision cataract surgery (MSICS) could be a saviour in such situations. We demonstrate a case of post perforation corneal scar secondary to Hansen\u2019s disease with complicated cataract with non-dilating pupil in a bilaterally blind patient. Due to poor visualisation, there could have been difficulties in capsulorrhexsis, cortex aspiration &amp; many other intraoperative manoeuvres, but use of an endo illuminator providing oblique illumination was very useful, resulting in uneventful surgery with good visual outcome. MSCICS, a surgery with minimal instrumentation, short learning curve and comparable results to phacoemulsification is perhaps the preferred procedure, in India, for complicated cataracts with multiple pre-existing pathologies<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1570_22","type":"journal-article","created":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T10:52:06Z","timestamp":1667213526000},"page":"4073-4075","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["\u201cShow me the way\u201d - Endoilluminator-assisted manual small-incision cataract surgery in a case of corneal scar with a small pupil"],"prefix":"10.4103","volume":"70","author":[{"given":"Shilpa Dike","family":"Joshi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-82-20240828","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1111\/j.1442-9071.2012.02868.x","article-title":"Phacoemulsification versus manual small-incision cataract surgery for age-related cataract:Meta-analysis of randomized controlled trials","volume":"41","author":"Zhang","year":"2013","journal-title":"Clin Exp Ophthalmol"},{"key":"R2-82-20240828","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.jcrs.2009.09.023","article-title":"Comparison of endothelial cell loss after cataract surgery:phacoemulsification versus manual small-incision cataract surgery:Six-week results of a randomized control trial","volume":"36","author":"Gogate","year":"2010","journal-title":"J Cataract Refract Surg"},{"key":"R3-82-20240828","doi-asserted-by":"crossref","first-page":"1431","DOI":"10.4103\/ijo.IJO_730_17","article-title":"Comparative analysis of endothelial cell loss following phacoemulsification in pupils of different sizes","volume":"65","author":"Maggon","year":"2017","journal-title":"Indian J Ophthalmol"},{"key":"R4-82-20240828","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1016\/j.jcrs.2009.08.032","article-title":"Preoperative cataract grading by Scheimpflug imaging and effect on operative fluidics and phacoemulsification energy","volume":"36","author":"Nixon","year":"2010","journal-title":"J Cataract Refract Surg"},{"key":"R5-82-20240828","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1007\/s10384-016-0480-y","article-title":"Wound stability and surgically induced corneal astigmatism after transconjunctival single-plane sclerocorneal incision cataract surgery","volume":"61","author":"Hayashi","year":"2017","journal-title":"Jpn J Ophthalmol"},{"key":"R6-82-20240828","doi-asserted-by":"crossref","first-page":"45","DOI":"10.4103\/0301-4738.44512","article-title":"Small incision cataract surgery:Complications and mini-review","volume":"57","author":"Gogate","year":"2009","journal-title":"Indian J Ophthalmol"},{"key":"R7-82-20240828","doi-asserted-by":"crossref","first-page":"2277","DOI":"10.1016\/S0886-3350(03)00493-0","article-title":"Endoillumination-assisted cataract surgery in a patient with corneal opacity","volume":"29","author":"Nishimura","year":"2003","journal-title":"J Cataract Refract Surg"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_1570_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:06:20Z","timestamp":1787771180000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_1570_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11]]},"references-count":7,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_1570_22","relation":{},"ISSN":["0301-4738"],"issn-type":[{"value":"0301-4738","type":"print"}],"subject":[],"published":{"date-parts":[[2022,11]]}}}