By Hand or by Machine? The Evolution of a Low-Tech Answer for the Most Difficult Cataract Cases

January 16, 2024 | By Chloe Sales, MS3
Madeline Yung, MD and Neeti Parikh, MD outside the Tilganga Institute of Ophthalmology in Kathmandu, Nepal.

Madeline Yung, MD and Neeti Parikh, MD outside the Tilganga Institute of Ophthalmology in Kathmandu, Nepal.

The day had begun as it usually did.

There was eye clinic in the morning, cataract surgeries till the afternoon, and now a few hours of “wet lab,” where UCSF ophthalmologists Neeti Parikh, MD and Madeline Yung, MD hone their surgical skills on practice bovine eyeballs.

Only this time, they’re not in San Francisco.

Supported by the UCSF Faculty Learning and Development Fund, Parikh and Yung have a unique vision in mind: to train in the art of small incision cataract surgery (SICS) in one of the very places where it was pioneered – the world-renowned Tilganga Institute of Ophthalmology in Kathmandu, Nepal.

Prior to their trip, Parikh and Yung’s goals were three-fold: first, to learn SICS from the experts; second, to return home and train their colleagues and residents in this technique; and third, to introduce its use for San Francisco patients with advanced cataract.

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