Small Incision Cataract Surgery (SICS)&ECCE
Small Incision Cataract Surgery (SICS)&ECCE
Small Incision Cataract Surgery (SICS), sometimes calledExtracapsular Cataract Extraction (ECCE),is a relatively older method of cataract removal.SICS or ECCE involves removing the clouded lens in one piece and replacing it with an IOL, suitable for dense, mature cataracts that can’t be emulsified. SICS is a manual procedure requiring skilled surgeons to remove cataracts. The SICS method of cataract removal doesn’trequire stitches.However, it requires a slightly bigger cut than phacoemulsification, usually between 5.5 and 6.5 mm.This manual incision removes the cloudy lens in one piece, so ultrasound is unnecessary. An intraocular lens (IOL) is inserted into the patient’s eye to restore vision.
Is SICS a safe procedure for cataracts?
This method is generally used when modern phacoemulsification equipment is unavailable or cataracts have worsened.Even though it might take a little longer to heal than phaco, SICS is still a safe, cost-effective choice that leads to satisfactory visual outcomes.The surgeon’s skill, experience in SICS, and choice of Lens impact the results and visual outcomes.
Who should choose Small Incision Cataract Surgery (SICS)?
Small-incision Cataract Surgery (SICS) is best for patients with hard or overripe cataracts, often elderly, or those who have delayed cataract treatment for some reason. It is also suitable for patients who cannot afford the high cost of cataract surgery, such as those with Laser blade-free or femto cataracts. SICS and ECCE are seen in the low-cost cataract surgeries segment.
Pros:
- SICS cataract is Effective for very advanced cataracts.
- SICS cataract is a good alternative for relatively expensive phaco surgery.
- SICS cataract costs much less compared to Phaco and FLACS.
- Reliable and widely available in rural settings.
Cons:
- Larger incision (5–7 mm).
- Slower healing and recovery (7–10 days).
- Possible need for sutures.
- Slightly higher chance of post-op astigmatism.
Pre-Surgery TestsforSICS Cataract Surgery
- Visual Acuity Test
- B-scan Ultrasound (for mature cataracts)
- Intraocular Pressure (IOP) Test
- A-Scan for IOL calculation
What is the cost of ECCE/SICS Surgery?
In Jalandhar, SICS/ECCE cataract surgery usually costs between 5000 and 14000 per eye. The exact cost varies depending on the type of intraocular lens (IOL) picked, the surgeon’s fee, and the hospital’s infrastructure. Standard monofocal IOLs are usually less expensive and used in SICS to make them more budget-friendly.
Are SICS and ECCE covered under Insurance?
Both Small Incision Cataract Surgery (SICS) and Extracapsular Cataract Extraction (ECCE) are generally covered under health insurance policies in India, including in Jalandhar.These procedures are recognized as medically necessary treatments for cataracts and are typically included in the list of covered surgeries by most insurers.
Type of Lens covered for SICS: Most insurance plans generally cover standard monofocal lenses.However, Insurance might not cover additional costs if you opt for premium lenses like multifocal or toric IOLs.
FAQs on SICS and ECCE cataract surgery
Yes, it’s designed for mature cataracts, common in older adults.
Sometimes, yes, especially in ECCE.
Yes, recovery might take longer than Phaco.
Usually, a few hours to a day.
Yes, monofocal and multifocal IOLs can be used.
Wear protective eyewear to prevent dust, avoid rubbing your eyes, and follow the drops and medication as advised.
Yes, both SICS and ECCE cataract surgery are covered under the Ayushman Bharat scheme.
Avoid traveling and other physically intense activities for the first week after your SICS and ECCE cataract surgery. Then, follow your surgeon’s advice.
The incision (surgery cut) generally heals well but may be slightly more noticeable with this mode of cataract surgery.
SICS is a more suitable procedure if the Cataract is too dense or if the budget is limited.
Duggal eye hospital Jalandhar
📍 Duggal Eye Hospital, Kishan Pura Chowk, Jalandhar, Punjab
📞 Call: 78883 52706
Disclaimer: This content is for informational purposes only. Please consult an eye care professional to determine your eligibility for LASIK or refractive surgery.
Tariq Masoodi
Tariq Masoodi is a technical content writer who specializes in strategic communications and digital media. He writes on health, eye care, and mass communication. He is fascinated by web marketing, advocacy blogs, and vlogs on all social media platforms. With over 20 years of expertise, he works with businesses around the world by pitching niche content to a targeted clientele to generate added revenues. He is a former professor of Media Studies and an alumnus of IIT Roorkee, India.
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