ABSTRACT
Hydroexpression with an irrigating vectis is a simple technique of Manual SICS using a combination of mechanical and hydrostatic forces to express out the nucleus.1 A simple irrigating vectis is all that is needed to perform the procedure. The technique is specially suited for softer cataracts, which will easily mould through smaller incisions; even harder cataracts can be tackled just by increasing the size of the scleral tunnel. The surgery can be performed either through a superior or temporal scleral tunnel incision. With temporal approach, even with larger incisions the amount of resultant astigmatism will be less and consequently the uncorrected vision will be better.
