INTRAOCULAR LENS IMPLANTATION - A REVOLUTION IN EYE SURGERY

 

By Dr. Khadia

 

Dr.Harold Ridley in 1949 implanted first IOL in human eye.His work

stimulated other eye surgeons to design and implant IOLs.After a bumpy

start by late 1960's and early 70's enthusiasm for IOL begun to burge on

and the use of IOL spread like wild fire.

Previously cataract was removed by ICCE technique and

patients were left aphakic. They had to use +10 to + 12D thick and heavy

glasses with following disadvantages and limitations :-

1. 25-30% magnified image,diplopia.

2. Restricted field of vision .

3. Chromatic aberration.

4. Spherical aberration.

5. More incidence of vitreous disturbance, retinal detachment,

CME, aphakic glaucoma etc.

To prevent and over come these problems Govt. of India trained eye

surgeons for IOL implantation & provided operating microscopes,slit

lamp, A-scan, keratometer, free IOL at all static centers all over the

country. Today every surgeon is doing IOL implantation .

After IOL implantation patient sees equally with both the eyes and

develops binocular vision.

There is no side effect of old technique.

IOL IN MSU :-

The MSU is updated in eye surgery. The unit purchased operating

microscope in1997 and started IOL surgery. Ever since the number

of IOL surgery is increasing regularly. At present we have two operating

microscopes and three trained eye surgeons.Since last two years ICCE is

completely stopped.

In the year 2004-05 we implanted about 3500 IOL in 24 camps

in remote and rural areas of Rajasthan.

FUTURE PLANS:

1. We plan to start sutureless surgery using phaco-emulsification

machine.

2. YAG-Laser, to treat posterior capsular opacification