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March 1978

A Surgical Storm

Arch Ophthalmol. 1978;96(3):427. doi:10.1001/archopht.1978.03910050203001

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This issue of the Archives contains a special communication by Dr Wong of Hawaii (p 526). Dr Wong raises some interesting questions as to the change in indications for cataract operations that have occurred in this country over the last decades.

There is no question that the cataract extraction has become one of the safest and most successful operations in medicine. Numerous variations and improvements have been devised, and all of them have their specific indications and special advantages.

While the immediate results of any type of cataract extraction are certainly excellent in the vast majority of patients, the long-term results may not always be that fortunate. We know, for instance, that the chances for a retinal detachment to develop are at least ten times as great in an aphakic eye as in a phakic eye. We know little about the tolerance of an eye to intraocular lenses as few

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