Unoperated cataract in the developing world remains ophthalmology's major unsolved problem. Recent developments have brought into question the assumptions of those who have thought that extracapsular surgery with implantation of a posterior chamber intraocular lens is an unrealistic approach to the treatment of global cataract blindness. High-quality 1-piece posterior chamber intraocular lenses...

Day-case cataract surgery and the need for local anaesthesia are likely to increase. Retrobulbar (and peribulbar) anaesthetic injection is a common technique in cataract surgery, but serious complications are persistently reported. Subconjunctival injection is an alternative that avoids these risks. This retrospective study compares two groups of patients that underwent extracapsular cataract s...

Progression in phacoemulsification techniques for cataract surgery[1-4] has also led to inevitable changes in the delivery of accompanying anesthesia from general to local modalities [5-7] i.e. retrobulbar, peribulbar, Sub-Tenon and topical anesthesia. General anesthesia is preferred for complicated intracapsular cataract extraction (ICCE) surgery as this technique involves significant manipula...

Nanophthalmos refers to an eyeball of short axial length, usually less than 20 mm which leads to angle closure glaucoma due to relatively large lens. Intra-ocular lens extraction relieves the angle closure in nanophthalmos. Cataract surgery in a nanophthalmic eye is technically difficult with high risk of complications such as posterior capsular rupture, uveal effusion, choroidal haemorrhage, v...

Surgically induced diffuse scleritis (SIDS) is a recognised but less well reported cause of pain and reduced vision following cataract surgery. We have previously reported on complications of conventional extracapsular cataract extraction in which SIDS was the second most common. Recently, we conducted an audit of patients who underwent phacoemulsification cataract extraction to compare the inc...

A case of planned routine extracapsular cataract extraction is described where surgery was complicated peroperatively by fracture of the posterior chamber lens implant. The technique of lens implantation is discussed.

Patient expectations for cataract surgery have increased significantly over the past several decades as surgeons have transitioned from standard extracapsular techniques to clear-cornea phacoemulsification. In addition to short operating times, topical anesthesia, and a sutureless procedure, patients increasingly expect spectacle independence following cataract extraction. In this tutorial we p...

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.