Cataract surgery: small incision: practice question

A Ophthalmology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Ophthalmology · Cataract surgery: small incision

Sample item

Which procedure is widely used in India for mature senile cataract in resource-limited settings, removing the nucleus through a tunnel incision without phacoemulsification?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Manual small incision cataract surgery

Manual SICS uses a scleral tunnel and delivers the nucleus in one piece, with a posterior chamber IOL. It is cost-effective for dense nuclei and is widely used in national programmes.

Option by option

  • A. Manual small incision cataract surgery (correct)

    Correct. SICS is the workhorse in many programmes.

  • B. Intracapsular cataract extraction

    ICCE is obsolete and needs a large incision with an anterior chamber lens.

  • C. Couching

    Couching is a dangerous traditional practice.

  • D. Lensectomy

    Lensectomy is used in children and subluxated lenses.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More Ophthalmology questions

Questions about this Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is A, Manual small incision cataract surgery. Manual SICS uses a scleral tunnel and delivers the nucleus in one piece, with a posterior chamber IOL.

Why is "Intracapsular cataract extraction" not the answer?

ICCE is obsolete and needs a large incision with an anterior chamber lens.

Why is "Couching" not the answer?

Couching is a dangerous traditional practice.

Why is "Lensectomy" not the answer?

Lensectomy is used in children and subluxated lenses.

What concept does this question test?

It tests Cataract surgery: small incision in Ophthalmology. It is cost-effective for dense nuclei and is widely used in national programmes.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Cataract surgery: small incision?

Group the red eye by what to examine and what the pupil does. Then use the flashcards and the other Ophthalmology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.