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Wound geometry as it relates to tunnel valvular competence in manual small incision cataract surgery

Aim: To describe wound construction in manual small incision cataract surgery (MSICS) in relation to anatomy, physiologic functioning and challenges of sclerocorneal tunnel. Methods: The author′s method of wound construction during MSICS was explored in a lucid prose. Where relevant, information obtained from major scholarly databases (Scopus, Hinari, PubMed and Google Scholars) was cited. Results: Valvularly competent sclerocorneal tunnel largely contributes to the outcome of sutureless MSICS and takes practice to master. Conclusion: Core to a successful MSICS is the construction of a leak-proof sclerocorneal tunnel.