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Procedure is similar to cataract surgery, most commonly followed by an intraocular lens implantation. In patients requiring only distance vision correction, a conventional mono-focal intraocular lens is placed in both eyes after the clear lens is removed. [1] While distance vision is fine in this, reading glasses are required for near vision. [1]
After being used regularly for centuries, couching has been mostly abandoned in favour of more effective techniques, due to its generally poor outcomes, and is currently only routinely practised in remote areas of developing countries. [11] [12] Cataract surgery was first mentioned in the Babylonian code of Hammurabi 1750 BCE. [13]
Manual small incision cataract surgery (MSICS) is an evolution of extracapsular cataract extraction (ECCE); the lens is removed from the eye through a self-sealing scleral tunnel wound. A well-constructed scleral tunnel is held closed by internal pressure, is watertight, and does not require suturing.
Cataract surgery with implantation of a toric IOL is essentially the same as cataract surgery with a conventional IOL. Like toric contact lenses , toric IOLs have different powers in different meridians of the lens, and they must be positioned on the correct meridian to reverse the preexisting astigmatism.
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This made visual rehabilitation after cataract surgery a more efficient, effective, and comfortable process. [107] Intracapsular cryoextraction was the favoured form of cataract extraction from the late 1960s to the early 1980s using a liquid-nitrogen-cooled probe tip to freeze the encapsulated lens to the probe.