To the Editor.
—"Light-Induced Maculopathy: Potential for Recovery," by Lindquist et al,1 was a well-written and well-illustrated article, and I was struck by several facts in reading it. First, the operating time required for cataract surgery in their two young patients (28 and 40 years of age, respectively) was approximately 75 minutes. I believe that this operating time is too long for young patients with soft nuclei. I realize that occasionally there can be a hard nucleus in a young patient, but this is, in my experience, a rare occurrence. I think that these cases could well have been treated quickly with a phacoemulsifier if the lens could not be aspirated with just an irrigation/aspiration system. In the hands of an experienced surgeon who performs phacoemulsification, neither of these procedures should have taken more than ten minutes for removal of the lens and cortex. A small incision would have
Tysinger JW. Light-Induced Maculopathy. Arch Ophthalmol. 1987;105(5):613-614. doi:10.1001/archopht.1987.01060050031018