Abstract
Cataract surgery has come a long way, from couching in the middle ears as long as 5,000 years ago to femtosecond laser lens fragmentation today. Although it is a routine surgery in the Western world today, cataract is still a major cause of blindness in the world, as the availability of surgery in other countries is much worse. And even if cataract surgery is available, posterior YAG capsulotomies might be not. Besides these problems, the development of cataract surgery in the Western world is progressing with huge steps. Smaller incisions, less invasive surgical techniques, and last but not least more precise IOL calculations lead the way to premium IOL. Bi- and trifocal lenses, requiring precise and predictable positioning are being implanted successfully today, due to these developments allowing patients to be independent of their glasses after cataract surgery. This step – from the removal of the blurred lens only towards the aiming for postoperative spectacle independency – marked the change from cataract surgery to refractive cataract surgery, which will be the cataract surgery of the twenty-first century.
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Klaproth, O.K., Ostovic, M., Kohnen, T. (2013). Innovations in Cataract Surgery. In: Scholl, H., Massof, R., West, S. (eds) Ophthalmology and the Ageing Society. Essentials in Ophthalmology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36324-5_7
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