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Purpose: To study the effectiveness and adverse events associated with the surgical treatment of cataracts; focusing on SICS as treatment option to make recommendations on the most suitable treatment option for cataract in outreach. Settings: Senoris general hospital (Al Fayoum city). Design: This prospective cross-sectional study. Methods: This study enrolled patients who underwent MSICS between April 2018 to April 14 2019. The primary outcome measure was post-operative, pinhole corrected VA on day 1 and 4 weeks. The secondary outcomes were complications as well as the costs of surgery. Results: A total number of 120 patients, 45 of them were males (37.5%), mean age of 62.0917± 9.7 years underwent MSICS. On post-operative day one, 70 eyes (58.3%) had good visual acuity (6/6 to 6/18), 50 eyes (41.6 %) borderline (<6/18 to 6/60) and 0 (0 %) had poor outcome less than 6/60. At 4 weeks postoperatively 120 eyes had good vision. Among all operated eyes, 32 eyes (26.6%) had intra-operative complications. The most common intraoperative complication was premature entry in 8 eyes (6.7 %). The frequent complication during the immediate postoperative period was corneal edema (34.1%). It was resolved within 2 weeks with good VA. The total surgical costs per case were estimated at (400 LE) ($25). Conclusion: Manual SICS is significantly faster and less technology-dependent than phacoemulsification, it may be a more appropriate cataract surgery in outreach.

Small Incision Cataract Surgery (A Safe, Cheap and Affordable Alternative to Phacoemulsification) (Let’s make it popular)