A combined technique of extracapsular cataract extraction and silicone oil injection is described. The anterior capsule is preserved to prevent movement of the silicone oil from the vitreous cavity to the anterior chamber. An anterior chamber tap ensures that the vitreous cavity is completely filled with silicone oil, while a peripheral iridectomy prevents postoperative pupillary block glaucoma.

A total of 94 patients underwent extracapsular cataract extraction and insertion of Sinsky style two-loop posterior chamber intraocular lenses. Forty-six eyes received a standard power IOL and 48 eyes were given a preoperatively calculated IOL. A significant difference was found in the two groups with regard to the postoperative refractive error and uncorrected visual acuity.

P osterior chamber intraocular lenses (IOLs) are exquisitely engineered to provide excellent vision when implanted into a stable capsule following extracapsular cataract extraction. If the lens capsule or the supporting lens zonules fail, and the IOL dislocates, vision usually deteriorates. Unfortunately, just as cars are not designed to be easily fixed after crashing, IOLs are not designed to ...

Forty patients subjected to extracapsular cataract extraction with posterior chamber intraocular lens implantation in whom a sphincterotomy was required are reported on. This method was used to counter the problems created by a small pupil during surgery. The technique is described and results evaluated.

To assess the accuracy of routine preoperative biometry we reviewed all cases of extracapsular cataract extraction with posterior chamber implant performed at Queen Alexandra Hospital in 1985. Of 471 eyes included in the survey 67.9% were within 1.0 D of the expected refraction and 90.7% within 2.0 D. Factors influencing accuracy are discussed. The necessity of routine preoperative biometry is ...

Simulated extracapsular cataract extractions on cadaver eyes were performed which demonstrated that the cells of the anterior capsule remain largely intact and that only a small amount of cortical lens matter remains postoperatively. Human lens epithelial cells from normal and cataractous lenses were grown in culture. There was no appreciable difference in growth rate between cells from normal ...

PURPOSE To estimate the long-term cumulative risk of retinal detachment (RD) after cataract extraction. METHODS Using the resources of the Rochester Epidemiology Project, we retrospectively identified all residents of Olmsted County, Minnesota, who had cataract extraction from 1980 through 2004 (10,256 cataract extractions in 7,137 residents) and were diagnosed with RD. The observed probabili...

EXTRACTION of the human lens for cataract has been performed with various improvements and increasing success for just 200 years. Daviel (1748) reported the first planned extraction but, as is frequently the experience of pioneers, his operation did not at first prove popular and most surgeons continued to couch cataracts, dislocating the opaque lens within the eye as had been practised in vari...

A randomised controlled trial in progress for more than five years, with no loss to follow-up (except death), assessed 333 eyes treated by three methods of cataract surgery. They were (A) intracapsular extraction and contact lens usage, (B) intracapsular extraction and implantation of an iris supported lens (Federov I), and (C) extracapsular extraction and implantation of an iridocapsular lens ...