Effectiveness of Manual Small-Incision Cataract Surgery in Treating White Cataracts

Aim: To evaluate the outcomes of manual small-incision cataract surgery (MSICS) in patients with white cataracts, including those with systemic comorbidities. Introduction: Cataract remains a leading cause of blindness. MSICS is a cost-effective, safe technique suitable for white cataracts and patients with systemic conditions. Materials and methods: This is a retrospective study from 108 patients (108 eyes) who underwent MSICS (May 2023 to October 2024). Preoperative assessments included ocular and systemic evaluations. Surgical outcomes and complications were analyzed. Results: In the present study, 99% achieved best-corrected visual acuity (BCVA) ≥ 6/18, and 89% achieved ≥ 6/9 at 45 days. Intraoperative complications were rare (one case of posterior capsular rupture). Postoperative complications occurred in 18.5% of cases (corneal edema, iritis); all were resolved before discharge. Conclusion: MSICS is safe, effective, and cost-efficient technique, offering excellent visual outcomes even in complex cases involving white cataracts and systemic comorbidities.