Abstract
AbstractCataract surgery is the most frequently performed ophthalmic surgery worldwide. This year approximately 32 million surgeries will be performed. The journey to modern, quick, and safe cataract surgery has been quite long. This review covers topics from ancient couching to the most modern phacoemulsification and femtosecond laser-assisted cataract surgery. The gain in quality of life is the largest with cataract surgery compared to other implant surgeries (e.g. knee, hip replacement, etc.). Ophthalmology has made huge advancements in recent decades. New microsurgical tools and diagnostic equipment have been developed, together with new surgical methods and foldable intraocular lenses, made from biocompatible material. From monofocal lenses, through aspheric, toric, and multifocal lenses, to multifocal toric lenses, today almost all kinds of refractive error can be compensated, including presbyopia. Teamwork, precise preoperative assessment, and fine surgical technique should also be emphasized in order to achieve the best and most predictable postoperative results for both patient and surgeon.
Highlights
Good visual acuity was an ancient wish of mankind
Let us review the developments in cataract surgery which led to the modern technology with which patients can have the same visual abilities at 70 years of age, without having other ocular pathologies, as they had in their 20s [1,2,3,4,5,6,7,8,9,10,11,12,13]
For lower myopia and hyperopia, refractive surgery is recommended, and for a large dioptre range, a refractive lens exchange may be a good solution
Summary
Received: October 21, 2019 Revised manuscript received: November 5, 2019 Accepted: November 7, 2019 Published online: July 31, 2020
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