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a 26 gauge needle bent twice used for incising the anterior capsule of the lens in lens extraction Wire vectis: a loop of wire attached to a stack used to extract cataract affected lenses Irrigating vectis: a small hollow instrument with a used to introduce fluid into the anterior chamber to raise its pressure to aid cataract extraction [2] Canula
People who have a multifocal intraocular lens after their cataract is removed may be less likely to need additional glasses compared with people who have standard monofocal lenses. [2] People receiving multifocal lenses may experience more visual problems, such as glare or haloes (rings around lights), than with monofocal lenses.
The cataract is removed from the capsule and anterior chamber using hydroexpression [Note 3] viscoexpression, [Note 4] or more-direct mechanical methods. [4] [13] [14] The extraction of the cataract must be done with due care so as not to compromise the integrity of the tunnel; the endothelium and capsule are also vulnerable to injury.
The intraocular lens did not find widespread acceptance in cataract surgery until the 1970s, when further developments in lens design and surgical techniques had come about. As of 2021, approximately four million cataract procedures take place annually in the U.S. and nearly 28 million worldwide, a large proportion in India.
Two main classes of cataract surgical procedures are currently in common use throughout the world: phacoemulsification, and extracapsular cataract extraction. Intracapsular cataract extraction has been superseded where the facilities for surgery under a microscope are available except for cases where the lens capsule cannot be retained, and ...
Intracapsular cryoextraction was the favoured form of cataract extraction from the late 1960s to the early 1980s: it consisted in using a liquid-nitrogen-cooled probe tip to freeze the encapsulated lens to the probe. This required a large incision and the cornea to be folded back and the anterior chamber to be drained.
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