Manual small-incision cataract surgery is an established method to perform cataract removal and is often considered as an alternative and a standby procedure to phacoemulsification in selected cases with associated ocular comorbidity.
An inadvertent complication during a phacoemulsification procedure often requires conversion to manual small-incision cataract surgery (MSICS). Despite comprehensive preoperative assessment, surgically induced astigmatism (SIA) can occur postoperatively in MSICS. The impact of residual astigmatism on visual acuity is immense and leads to patient dissatisfaction.
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