The posterior chamber intraocular lens, the crowning of modern extracapsular cataract extraction

ABSTRACT

The modern extracapsular cataract extraction [E.C.C.E.] is not at all similar to the old, well-known extracapsular technique, which had been easily conquered by the intracapsular extraction [I.C.C.E.], we have all been brought up to do intracapsular surgery. Even the youngest generations are still trained to do I.C.C.E. Intraocular lens Implantation is far safer and much less complicated in conjunction with E.C.C.E. The posterior chamber [whole retropupillary] lens is far superior to the anterior chamber one and is only possible with E.C.C.E. We have Implanted 84 posterior chamber lenses, of the modified J-loop, after E.C.C.E, and the results have been excellent. The advantages were 1- Much less incidence of vitreous loss 2- Less astigmatism with the small posterior limbal incision 3- The absence of intraocular pressure elevation 4- The excellent visual acuity and the absence of bullous keratopathy, due to the very soft ocular tension and the use of Na hyaluronate to maintain the A.C. Very few cases of postoperative iridocyclitis and a few cases of capsular thickening were controlled in the usual way