PHACO vs SICS – which cataract surgery procedure is a better option?
- Phacoemulsification (PHACO)
Commonly known as “PHACO” surgery, it is the mostly common technique for cataract removal nowadays.
This procedure requires minimal sedation, and the eyes are numbed by administrating anesthetic drops in the eyes to prepare for the surgery. During the procedure a small incision is made at the side of the cornea- the clear dome shaped portion that covers the front of your eye, by using a cutting-edge machine. In the next step a small probe is inserted into the eye. This probe then emits low pulses of ultrasonic sounds which breaks up the natural clouded lens into tiny fragments. Another attachment to the probe is then used as suction to removes the tiny broken fragments.
After that the eye surgeon would introduce a foldable lens implant called the IOL through a special applicator. The flexible IOL then unfolds within the eye in place of the natural lens.
This would help the patient with vision correction after the surgery.
Cataract surgery through PHACO machine is a painless and stitch-less procedure. Patient is discharged from the hospital on the same day of the surgery itself. Cataract operation when done through the PHACO process, results in very less recovery time, and the patient can resume work within few days.
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- Small Incision Cataract Surgery (SICS)
Commonly termed as “SICS”, this procedure does not involve performing the surgery using the probes or any cutting-edge machine.
In its place, the doctor usually uses a blade to manually make a larger incision (larger compared to a PHACO incision) at the side of the cornea and remove the cataract without fragmenting the lens in the eye like the PHACO technique. Later the IOL is introduced in the eye inside the capsular bag.
SICS is a suture less surgery and as such no stiches are required and the incision is self-healing.
However, a bandage is placed over the eye immediately after the surgery for protection. The patient may require staying at the hospital for a night and released the next day. Patients need more recovery time for healing, and it may take up to weeks to resume work.
Clinical studies and research have shown that both SICS and PHACO surgeries provide good visual outcome, yet you might have to choose between these two surgery options because of the following:
- When patients present themselves with very hard and densely developed cataract, the surgeon is left with little choice but to do SICS because doing PHACO in such eyes PHACO would require prolonged time and increased energy levels than normal.
- Performing SICS is significantly faster. Hence SICS is commonly preferred in a high volume set up like eye surgeries in a camp set up.
- The quality of vision after surgery, depends to a large extent on the type of IOL used. When advanced IOLs are implanted, the eye surgeon would choose PHACO over SICS.
- Discharge from the hospital is faster in PHACO patients after surgery. In fact, after PHACO surgery a patient can usually get back to normal activity faster.
- When Patients present themselves with complications in their eyes along with cataract, doctors usually must decide on a particular surgery option.
Finally, since every single person with cataract can have varied health conditions, your eye surgeon is supposed to discuss the specific potential complications of the type of cataract procedure most feasible for you. Your doctor or eye specialist is best placed to suggest the right IOL and the right surgical procedure that is most suited for you.
If you are planning a cataract or motiyabind surgery for yourself or a family member, you may visit an dvc foundation Hospital facility to consult an eye specialist or doctor.
To consult a doctor or eye specialist at dvc foundation, you may book a doctor appointment online to save your time.
If you have any query, please contact us using the form here. Our executive will contact you on your phone number.