Conventional ECCE versus SICS

Conventional large incision ECCE, though still being
performed by many surgeons, is being largely replaced
by small incision cataract surgery (SICS) techniques.
Merits of conventional ECCE over SICS. The only
merit of conventional ECCE over SICS is that it is a
simple technique to master with short learning curve.

Dermerits of conventional ECCE over SICS include:
Long incision (10 to 12 mm).
Multiple sutures are required.
Open chamber surgery with high risk of vitreous
prolapse, operative hard eye and expulsive
choroidal haemorrhage.
High incidence of post-operative astigmatism.
Postoperative suture-related problems like irritation
and suture abscess etc.
Postoperative wound-related problems such as
wound leak, shallowing of anterior chamber and
iris prolapse.
Needs suture removal, during which infection
may occur.