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July 1979

Intraocular Lenses

Arch Ophthalmol. 1979;97(7):1372. doi:10.1001/archopht.1979.01020020096027

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The text provides a brief introduction to the topic of lens implantation. About a third of the book describes surgical techniques for placement of an intraocular lens; the balance deals with history, design, and operative and postoperative complications. An appendix lists manufacturers of lenses and instruments. The author has a preference for general anesthesia, an intracapsular cataract extraction through a clear corneal incision, the Schachar lens implant, a running 10-0 nylon closure, and suture removal after four weeks. Nevertheless, many details can be gleaned from the description of other methods. The indications for implantation specified are liberal and include the statement, "Infants with congenital cataracts should definitely have implant surgery." Only the following two contraindications are listed: in cases with axial myopia in excess of 8 diopters and in the case of a patient with sight in one eye. The Schachar implant is an iris clip lens with two horizontal

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