PURPOSE To analyze the rate of intraoperative complications, reoperations, and endophthalmitis with phacoemulsification, manual small-incision cataract surgery (SICS), and large-incision extracapsular cataract extraction (ECCE). SETTING Aravind Eye Hospital, Madurai, India. DESIGN Retrospective cohort study. METHODS This study comprised consecutive cataract surgeries performed during a 12...

PURPOSE To estimate retrospectively the incidence, predisposing factors, and possible mechanisms precipitating massive suprachoroidal hemorrhage (MSCH) development during cataract extraction surgery. METHODS The study was conducted on 6639 consecutive cataract extractions performed between 1994 and 2002. All of the procedures were carried out using traditional nucleus expression methods. The ...

To date a number of techniques have been used for cataract surgery. However phacoemulsification is the most common method. Other methods such as intraand extracapsular cataract extraction, mini-nuc, phacosection, sandwich and phaconit have also been used by many surgeons. Over the years, the techniques of cataract surgery have evolved into a safe and successful procedure for visual rehabilitati...

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 ...

Cataract surgery is performed more easily if mydriasis can be maintained until the intraocular lens has been inserted. Intraocular irrigation with adrenaline is thought to be of benefit in this respect, and is used by some surgeons but not others. This prospective double blind controlled trial assessed the efficacy and safety of using perioperative adrenaline during extracapsular cataract surge...

Peribulbar and retrobulbar anaesthesia are commonly used techniques in cataract extraction. They offer satisfactory analgesia and akinesia but serious complications although uncommon are consistently reported. Intravenous sedation combined with a facial nerve block offers an alternative method of anaesthesia. This is a retrospective study of patients who underwent extracapsular cataract extract...

Comments are made on the method of removing the anterior capsule during the performance of extracapsular cataract operations. The difficulty of performing this manoeuvre adequately is emphasised. Observations carried out during the postoperative period by means of the slit-lamp revealed some hitherto undescribed changes in the capsule. The edge of the anterior capsule can be clearly seen and lo...