Abstract
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Highlights
Due to a large degree of secondary cataract, glaucoma and anterior chamber inflammation following “primitive” extracapsular cataract extraction (ECCE), this method was again replaced by intracapsular extraction
In 1970s, with improved irrigation/aspiration devices and capsulotomy techniques, surgeons again returned to ECCE
Opposed to ECCE (190° of limbal circumference, or approximately 20-22 mm), standard incision for phaco is 3.2 mm, which is in case of implantation of PMMA lens widened to 8 mm (N asisse and Davidson 1990), in case of foldable intraocular lens (IOL) to 4.2 mm (Gaiddon et al 1997, author’s own experience), with injector even smaller (3.8 mm)
Summary
The success rate of cataract surgery has risen significantly during last decades, especially thanks to development of more precise microsurgical techniques and with introduction of phacoemulsification (Boldy 1988; Dziezyc 1990) and IOL implantation. Due to a large degree of secondary cataract, glaucoma and anterior chamber inflammation following “primitive” ECCE (without irrigation/aspiration of remaining cortical material), this method was again replaced by intracapsular extraction.
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