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Beer-type cataract knife and needle, cased, Paris, 1820-1866 A cataract surgery. Dictionnaire Universel de Médecine (1746–1748) On Sep. 18, 1750, Jacques Daviel performed the first documented planned primary cataract extraction on a cleric in Cologne. [ 29 ]
Cataract surgery is one of the most cost-effective health interventions, since its economic benefits considerably exceed the cost of treatment. [ 128 ] [ 129 ] The 1998 World Health Report estimated 19.34 million people were bilaterally blind due to age-related cataracts, and that cataracts were responsible for 43% of all cases of blindness.
[42] [53] In some developed countries, a trend to overuse cataract surgery has been noted, which may lead to disappointing results. [54] Phacoemulsification is the most widely used cataract surgery in the developed world. [55] [56] This procedure uses ultrasonic energy to emulsify the cataract lens.
As of 2011, cataract surgery is the most frequently performed surgical procedure in the United States, with 1.8 million Medicare beneficiaries undergoing the procedure in 2004. This rate is expected to increase as the population ages. [33]
Cataract surgery by “couching” (lens depression) is one of the oldest surgical procedures. The technique involves using a sharp instrument to push the cloudy lens to the bottom of the eye. Perhaps this procedure is that which is mentioned in the articles of the Code of Hammurabi (ca. 1792–1750 BC) though it is a mere speculation.
At the first post-operative check, the surgeon will usually assess whether vision is suitable for driving. [36] After surgery, to prevent contamination, the eyes should not be rubbed and the use of eye makeup, face cream or lotions should be avoided. Excessive dust, wind, pollen or dirt should also be avoided.
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