IMMEDIATE AMBULATION AFTER PLANNED EXTRA-CAPSULAR CATARACT EXTRACTION AND IMPLANT OF INTRA-OCULAR LENS

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Abstract
Day-case or outpatient cataract surgery was reported many times over the past 30 yr and the modern microsurgical techniques were deemed safe enough to allow immediate ambulation and return to the home environment even with the additional step of implantation of an intraocular lens, provided the lens was of the type designed for positive fixation. The trend toward the planned extracapsular method of cataract removal was thought to be a further safeguard to the patient, particularly the elderly age group of patients for whom implants are strongly indicated and for whom early ambulation and avoidance of general anesthesia are important in reduction of morbidity. A study began in Nov. 1976, to follow patients who had the indication and the desire to have implant surgery on a day-case basis; the results on 100 cases collected over the 3 1/2 yr period are presented. Local anesthesia was used in all cases and planned extracapsular surgery was performed with irrigating micro-instruments. Irido-capsular lenses of Binkhorst design were used mostly and the visual results, low complication rate and patient satisfaction appear equal to reports of similar series on inpatient cases.

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