{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:32:05Z","timestamp":1787758325622,"version":"build-2784847793"},"reference-count":9,"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>Manual small-incision cataract surgery (MSICS) is a cost-effective alternative to phacoemulsification and extracapsular cataract extraction (ECCE) for cataract surgery. The surgical technique in MSICS is heterogeneous, and the maximum variation exists in incision and nucleus delivery techniques. Many studies on various incisions are available, and most of them are dedicated to surgically induced astigmatism (SIA), utility, and visual outcomes. The nucleus delivery techniques have less-extensive literature available. They can be divided into \u201cpulling\u201d techniques like phacosandwich technique, fish hook technique, and vectis delivery and \u201cpushing\u201d techniques like viscoexpression or hydroexpression with irrigating vectis\/Blumenthal\u2019s MiniNuc technique. Postoperative surgical-induced astigmatism is comparable in all techniques. The authors describe a pushing technique which does not raise the pressure of the anterior chamber and can be utilized with variable-sized and irregularly shaped nuclear fragments. It has universal application, especially when the size of the incision is getting smaller in MSICS and phacofragmentation is being used as an adjunct to reduce the incision size. It can be used in situations like posterior polar cataracts, where pressure variations in the anterior chamber can be dangerous.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1606_22","type":"journal-article","created":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T10:52:06Z","timestamp":1667213526000},"page":"4060-4062","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Endoexpression technique of nucleus delivery in manual small-incision cataract surgery"],"prefix":"10.4103","volume":"70","author":[{"given":"Jagannath","family":"Boramani","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jatinder","family":"Bali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priyanka","family":"Boramani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ojasvini","family":"Bali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-76-20240828","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.4103\/ijo.IJO_863_17","article-title":"Review of manual small-incision cataract surgery","volume":"65","author":"Singh","year":"2017","journal-title":"Indian J Ophthalmol"},{"key":"R2-76-20240828","doi-asserted-by":"crossref","first-page":"362","DOI":"10.4103\/0974-9233.159763","article-title":"Meta-analysis to compare the safety and efficacy of manual small incision cataract surgery and phacoemulsification","volume":"22","author":"Gogate","year":"2015","journal-title":"Middle East Afr J Ophthalmol"},{"key":"R3-76-20240828","first-page":"2","article-title":"Anterior chamber maintainer (ACM):A useful aid in small incision cataract surgery","volume":"7","author":"Sambarey","year":"2009","journal-title":"Internet J Ophthalmol Vis Sci"},{"key":"R4-76-20240828","first-page":"432","article-title":"Nucleus viscoexpression compared with other techniques of nucleus removal in extracapsular cataract extraction with capsulorhexis","volume":"25","author":"Bellucci","year":"1994","journal-title":"Ophthalmic Surg"},{"key":"R5-76-20240828","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.4103\/ijo.IJO_1261_18","article-title":"Evaluation of complications and visual outcome in various nucleus delivery techniques of manual small incision cataract surgery","volume":"67","author":"Sharma","year":"2019","journal-title":"Indian J Ophthalmol"},{"key":"R6-76-20240828","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/S0886-3350(13)80136-8","article-title":"Extracapsular cataract surgery using capsulorhexis with viscoexpression via a limbal section","volume":"21","author":"Burton","year":"1995","journal-title":"J Cataract Refract Surg"},{"key":"R7-76-20240828","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/S0886-3350(13)80944-3","article-title":"Hydroexpression and viscoexpression of the nucleus through a continuous circular capsulorhexis","volume":"19","author":"Thim","year":"1993","journal-title":"J Cataract Refract Surg"},{"key":"R8-76-20240828","doi-asserted-by":"crossref","first-page":"140","DOI":"10.3126\/nepjoph.v6i2.11708","article-title":"A novel nucleus extraction technique using a vectis in a sutureless, manual, small incision cataract surgery","volume":"6","author":"Zeng","year":"2014","journal-title":"Nepal J Ophthalmol"},{"key":"R9-76-20240828","doi-asserted-by":"crossref","first-page":"41","DOI":"10.4103\/0301-4738.44509","article-title":"Nucleus management in manual small incision cataract surgery by phacosection","volume":"57","author":"Ravindra","year":"2009","journal-title":"Indian J Ophthalmol"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_1606_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:14:08Z","timestamp":1787757248000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_1606_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11]]},"references-count":9,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_1606_22","relation":{},"ISSN":["0301-4738"],"issn-type":[{"value":"0301-4738","type":"print"}],"subject":[],"published":{"date-parts":[[2022,11]]}}}