INVEST IN YOUR TOOLKIT

Join hundreds of physicians learning MSICS and gain practical skills you can use at home and in the field.

You will receive: 

• Short preview to evaluate teaching style and surgical approach

• Core MSICS principles and workflow overview

• Practical intraoperative strategies for resource-variable settings

• Includes 1 lecture and 1 complete surgery from the full course

This is a self-paced, online course. You’ll receive immediate access after purchase.

*CME credit is issued upon course completion via an accredited third party provider.

ABOUT THIS COURSE

This course offers a comprehensive and in-depth exploration of Manual Small-Incision Cataract Surgery (MSICS), a surgical modality of substantial global relevance and clinical efficacy. Designed for ophthalmologists with foundational to advanced experience in cataract surgery, this educational activity delves into critical aspects of MSICS, emphasizing contemporary practices for patient safety, surgical optimization, and complication management across a diverse spectrum of clinical presentations.

Participants will acquire insights into pain prevention strategies, advanced manipulation techniques, and nuanced approaches to large capsulorhexis and nuclear prolapse execution. The module rigorously addresses the safe management of nuclear fragments, and extends its focus to address intraoperative challenges such as poor pupil dilation, shallow anterior chambers, and the handling of dense cataracts, soft cataracts, and posterior subcapsular cataracts. It further provides detailed discussions on managing complications including premature wound entry, button-holing, iris prolapse, dropped nucleus, hyphema, and specific scenarios like the argentinian flag and ocular trauma. Through a series of detailed case reviews and targeted discussions, this course aims to refine surgical acumen, enhance procedural resilience, and contribute to improved visual outcomes and patient satisfaction in complex cataract surgery.

AUTHORS 

Jeffery J. Rutgard, MD, MS

REVIEWERS 

Robert Fintelmann, MD, FACS; Janice A. Gault, MD; Jennifer Kim, MD; Audrey D. Schwarzbein, MD; Alexander R. Shusko, Jr., MD

RELEASE 

July 1, 2025; expires July 1, 2028

OBJECTIVE 

To enhance the ophthalmologist’s comprehensive approach to Manual Small-Incision Cataract Surgery (MSICS), encompassing advanced techniques, patient management, complication mitigation, and the application of MSICS in diverse global and clinical contexts.

DISCLOSURES 

The authors and reviewers report no financial relationships with commercial interests. All relevant financial relationships have been mitigated.

AUDIENCE 

Ophthalmologists with basic or intermediate experience in cataract surgery. This module is particularly beneficial for those looking to refine their MSICS techniques, enhance patient safety, and manage complex cases more effectively.

ACCREDITATION 

The American Academy of Ophthalmology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Academy of Ophthalmology designates this enduring material for a maximum of 15 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

HARDWARE/SOFTWARE REQUIREMENTS 

This learning activity requires a current web browser and broadband connection.