Manual small incision cataract surgery offers similar advantages with the merits of wider applicability, better safety, a shorter learning curve and lower cost. Phacoemulsification requires expensive instrumentation which may not be available at all centres, whereas manual SICS requires only a minimum addition to the standard cataract surgery instrument armamentarium. Another advantage of manual SICS over other methods of cataract surgery is the shorter duration taken, making it particularly applicable to high volume cataract surgery.
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