[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-404703-105":59,"doc-detail-404703-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","phacoemulsication-versus-extracapsular-cataract-extraction-where-do-we-stand-purpose-and-update-review","Phacoemulsification versus extracapsular cataract extraction: where do we stand? - Purpose and update review","","Cataract surgery is reviewed by comparing phacoemulsification with extracapsular cataract extraction (ECCE), including how ECCE splits into traditional approaches and small-incision cataract surgery. The review synthesizes updates in surgical techniques, outcome comparisons across trials, cost-effectiveness, and ongoing relevance of extracapsular methods in Western settings. It also summarizes refinements in manual ECCE, including improvements in incision design, nucleus removal steps, wound construction, and anesthesia options. Overall, when performed well, final outcomes show little difference, while suitability and economics vary by location and facilities.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/phacoemulsication-versus-extracapsular-cataract-extraction-where-do-we-stand-purpose-and-update-review/404703/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/phacoemulsication-versus-extracapsular-cataract-extraction-where-do-we-stand-purpose-and-update-review/404703.png","ImageObject",300,407,{"name":92,"@type":93},"acoobca","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-27",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What two main cataract surgery techniques does the review focus on?","Question",{"text":112,"@type":113},"The review focuses on manual extracapsular cataract extraction (ECCE) and phacoemulsification. ECCE is further separated into traditional extracapsular methods and small-incision cataract surgery.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Do trials show differences in final outcomes between techniques when surgeries are done well?",{"text":117,"@type":113},"The review states that studies suggest little difference in final outcome when each surgery is performed well.",{"name":119,"@type":110,"acceptedAnswer":120},"How do costs and suitability differ between phacoemulsification and ECCE?",{"text":121,"@type":113},"The review notes that overall cost-effectiveness and suitability vary based on location and available facilities.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},404703,1790909750,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},3985747870733,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Phacoemulsification versus extracapsular cataract extraction: where do we stand?  \nSuzann Pershinga and Abha Kumarb  \naStanford University Medical Center, Stanford and bSanta Clara Valley Medical Center, San Jose, California, USA  \nCorrespondence to Abha Kumar, Valley Specialty Center, 751 South Bascom Avenue, 3rd floor, San Jose, CA 95128, USA  \nTel: +1 408 885 7980; fax: +1 408 885 5849;  \ne-mail: [abha.kumar@hhs.co.santa-clara.ca.us](abha.kumar@hhs.co.santa-clara.ca.us)  \nCurrent Opinion in Ophthalmology 2011, 22:37–42  \nPurpose of review  \nCataract surgery at present is divisible into two general techniques: manual extracapsular cataract extraction and phacoemulsification – with ECCE further separated into the traditional form and small-incision cataract surgery. This review will discuss updates in surgical techniques, outcome comparisons, cost analysis, and the continued role of extracapsular cataract extraction in Western countries.  \nRecent findings  \nSurgical techniques for manual extracapsular cataract extraction have undergone much refinement, with numerous descriptions of techniques in a recent literature. Studies that have emerged in the last several years allow us to compare surgical results between different techniques and suggest that there is little difference in final outcome when each surgery is done well. Overall cost–effectiveness and suitability of each technique vary based on location and facilities.  \nSummary  \nManual extracapsular cataract extraction (especially small-incision versions) occupies an important place in modern cataract surgery, and, while not a replacement for phacoemulsification in Western countries, should be part of a cataract surgeon’s overall skill set.  \nKeywords  \nmanual extracapsular cataract extraction, manual sutureless cataract surgery, phacoemulsification, resident training/education, small-incision cataract surgery  \nCurr Opin Ophthalmol 22:37–42  \n􀀂 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins 1040-8738  \nIntroduction  \nOver the past several decades, cataract surgery has split into phacoemulsification and manual extracapsular cataract extraction (ECCE) – the former predominating in industrialized countries and the latter in developing countries. It has been questioned whether planned manual ECCE has a continued role in modern cataract surgery in Western countries, and especially whether it should continue to be taught in residency training. Central to the debate is the relative effectiveness of each operation.  \nA series of trials published over the past several years allow us to compare outcomes. They will be discussed, along with advancements in surgical technique, relative cost–effectiveness, and roles in resident education.  \nBackground and techniques  \nFor purposes of this review, we will make distinction between classic manual ECCE and newer small-incision  \nmanual ECCE (often called small-incision cataract surgery or SICS).  \nThere is wide variation in technique for classic manual ECCE; however, it generally involves a 9–13-mm shelved incision, typically a ‘smile’ running parallel to the limbus, and usually from a superior approach. The incision is followed by an anterior capsulotomy (continuous curvilinear capsulorhexis or can-opener capsulotomy), lens expression (posterior pressure or assisted delivery), and cortical cleanup (manual Simcoe cannula or other device). After IOL insertion, the wound is closed with multiple sutures – yielding a variable amount of astigmatism.  \nDescriptions of small incision, often sutureless, manual ECCE surfaced in the literature in the early 1990s [1–4]. We saw the adoption of smaller linear or ‘frown’-shaped incisions[5,6], prolapse ofthelens nucleus into the anterior chamber before removal, and sutureless yet watertight wound closure. At present, these surgeries can be routinely performed in 4–5min in experienced hands [7].  \n1040-8738 􀀂 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins DOI:10.1097/ICU.0b013e3283414fb3 ","cbCaicCNhcMxZauC","https://ap.wps.com/l/cbCaicCNhcMxZauC","pdf",147107,"English","# Purpose of review\n# Recent findings\n# Summary\n# Keywords\n# Introduction\n# Background and techniques\n## Manual extracapsular cataract extraction (classic)\n## Small-incision manual ECCE (SICS)\n## Surgical refinements and wound construction\n## Anesthesia approaches\n# Outcomes: SICS and phacoemulsification","[{\"question\":\"What two main cataract surgery techniques does the review focus on?\",\"answer\":\"The review focuses on manual extracapsular cataract extraction (ECCE) and phacoemulsification. ECCE is further separated into traditional extracapsular methods and small-incision cataract surgery.\"},{\"question\":\"Do trials show differences in final outcomes between techniques when surgeries are done well?\",\"answer\":\"The review states that studies suggest little difference in final outcome when each surgery is performed well.\"},{\"question\":\"How do costs and suitability differ between phacoemulsification and ECCE?\",\"answer\":\"The review notes that overall cost-effectiveness and suitability vary based on location and available facilities.\"}]","Phacoemulsification versus extracapsular cataract extraction: where do we stand? - Purpose and update review | PDF",1790550027,15]