Consider manual shelved incision cataract surgery for dense brunescent cataract

This patient presented with a decade-long history of poor vision out of one eye. While there was no recollection of trauma, the preoperative consultation revealed clues that suggested a prior blunt force injury.
The patient now desired cataract surgery, and we had to formulate and execute a procedural plan to ensure success. While phacoemulsification with ultrasonic energy is usually our preferred option, in this case MSICS, or manual shelved incision cataract surgery, could be more favorable.
The patient had 20/25 vision in the right eye, which had a mild degree (Read more...)