ECCE vs ICCE

Advantages of ECCE over ICCE
1. ECCE is a universal operation and can be
performed at all ages, except when zonules are
not intact; whereas ICCE cannot be performed
below 40 years of age.
2. Posterior chamber IOL can be implanted after
ECCE, while it cannot be implanted after ICCE.
3. Postoperative vitreous related problems (such as
herniation in anterior chamber, pupillary block
and vitreous touch syndrome) associated with
ICCE are not seen after ECCE.
4. Incidence of postoperative complications such
as endophthalmitis, cystoid macular oedema and
retinal detachment are much less after ECCE as
compared to that after ICCE.
5. Postoperative astigmatism is less, as the incision
is smaller.
Advantages of ICCE over ECCE
1. The technique of ICCE, as compared to ECCE, is
simple, cheap, easy and does not need
sophisticated microinstruments.
2. Postoperative opacification of posterior capsule
is seen in a significant number of cases after
ECCE. No such problem is known with ICCE.
3. ICCE is less time consuming and hence more
useful than ECCE for mass scale operations in
eye camps.