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BJO at a glance
BJO at a glance
  1. Creig Hoyt, Editor

    https://doi.org/10.1136/bjo.2004.bjjunata

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      CATARACT SURGERY STRATEGIES IN RURAL AFRICA

      Extracapsular cataract extraction with a posterior chamber intraocular lens is the preferred method of cataract surgery in developed countries. However, intracapsular cataract extraction with an anterior chamber lens may be appropriate in some underdeveloped parts of the world. Waddell and coworkers report results from a randomised trial in rural Africa in the treatment of cataracts in patients over 50 years of age. All patients required bilateral cataract surgery. One eye was randomly allocated to the anterior chamber intraocular lens or posterior chamber intraocular lens, the other eye being allocated to the second strategy. The results suggest that where most strategies of cataract surgery are available, extracapsular cataract extraction with posterior chamber intraocular lens should be the first choice because of fewer complications. However, when extracapsular cataract extraction with posterior intraocular lens is not immediately feasible intracapsular cataract extraction with an anterior chamber intraocular lens is an acceptable interim technique. See p 734

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