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This was a 70 years old gentleman presented with grade 5 nuclear sclerotic cataract with poor zonular support. Many surgeons would go for phacoemulsification but it would prone to phaco ultrasound energy related corneal complications, lens capsule and zonules related complications including lens matter drops or zonular dialysis. In other words standard phaco would be challenging and risky despite of best of the phaco machines, OVD and surgical skills. In such cases the role the femto laser assisted cataract surgery (FLACS) is advocated to minimize ultrasound energy related complications. The FLACS is unaffordable to most of the cataract surgeons and patients in the present scenario. Other par excellence, simple and economical option is manual small incision cataract surgery (MSICS). We decided to do MSICS in this case. Post operative day 1 vision was 6/12 unaided with crystal clear cornea. Visco used: HPMC 2 % Irrigation Solution: Ringers Lactate -------- Dr Sudhir Singh,MS Sr.Consultant & HOD Phaco Surgeon,Paediatric Ophthalmololist & Strabismologist JW Global Hospital & Research Centre Mount Abu,India [email protected] Visiting Senior Consultant Ophthalmologist Global Institute Of Ophthalmologist Abu Road 307510 [email protected] squintmaster.com theeyetimes.com rostimes.com Visit Us for more on strabismus software at www.SquintMaster.Com