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October 28, 1983

Retinal Detachment After Cataract Removal

Author Affiliations

St Luke's Cataract and Intraocular Lens Clinic New Port Richey, Fla

JAMA. 1983;250(16):2109. doi:10.1001/jama.1983.03340160013010

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To the Editor.—  We read in the QUESTIONS AND ANSWERS section on March 25, 1983, "Retinal Detachment After Cataract Removal," the case report concerning the woman who underwent cataract surgery on the left eye, suffered a retinal detachment afterward, and is now considering what is to be done with the cataract developing in the right eye. We must disagree with Dr Hartstein's advice that the cataract could be removed by either an intracapsular or extracapsular route.There is no doubt in our minds from the experience of thousands of cataract extractions, both intracapsular and extracapsular, that the extracapsular extraction is much safer in protecting the eye from retinal complications, which include retinal detachment and macular edema. Planned extracapsular cataract extraction by manual technique is more easily performed in a person with a hard nucleus, as would be the case of someone in their 80s. When we are dealing with someone