The Beginning of Modern Cataract Surgery
Removal of cataracts has been practiced for centuries, but one of the problems
after surgery, has been how to focus the image on the retina. During
cataract surgery the lens of the eye is removed. With the clouded lens removed
the light can now get into the eye but it is blurred and not focused.
Prior to the invention of Dr. Harold Ridley in
1949, the only solution was to wear "coke bottle" glasses. Dr. Ridley
was as
ophthalmic surgeon in London, England. During WWII Dr. Ridley
had experience in treating British fliers who had sustained injuries
when fragments of cockpit canopies penetrated their eyes. These canopies
were made from a plastic called polymethyl methacrylate (PMMA). Dr. Ridley
had observed this plastic appeared to be inert when it lied within the
eye.
He fabricated a lens made from PMMA to be used to replace the human
lens during cataract surgery. This intraocular lens (IOL) was first used
on November 19, 1949, during cataract surgery on a 45-year-old woman.
Over the course of the next several years he performed cataract surgery
and implanted about 1000 similar IOL's. Dr. Ridley's development was
met with skepticism and scorn. A hugh backlash against Dr. Ridley's invention
and procedure by many of his peers occurred and resulted in the slow
adoption and further development until the mid-1970's. Since its inception,
the IOL has benefited well over 100 million cataract patients worldwide.
Surgeons implant more than 8 million IOL's each year. Dr. Harold Ridley
was finally recognized for his contribution to humanity and was Knighted
in London by Queen Elizabeth II on February 9, 2000 one year prior to
his death. With current cataract surgery techniques and IOL's we are
able to restore a patients vision and at the same time reduce or eliminate
the need for glasses because of what Dr. Ridley started.
Cataract Surgery in Ancient Times
Cataracts are a problem the have interfered with humans since the beginning
of recorded history. Ancient cataract surgical instruments have been
uncovered in Egyptian tombs. Cataract operations are among the oldest
recorded surgical procedures; there are references to cataract surgery
in the Code of Hammurabi in 1750 B.C. In the ancient world,
lenses damaged by cataracts were dislocated rather than removed from
the eye. The surgeon used a lance to push the clouded lens backward
into the vitreous body of the eye. This operation, known as couching,
was standard practice until the mid-eighteenth century.
Monet had Cataracts
Cataract surgery is one of the most successful
of all operations. Cataracts can be removed with little discomfort
and inconvenience. Not so for Claude Monet, the famed French impressionist.
Monet was diagnosed with cataracts in 1912 and he endured for over
ten years. During that time, his perception of both color and form
was severely compromised. By 1923, he was on the verge of total
blindness and he underwent cataract surgery. After surgery he had
to lie flat on his back for several days without moving. Sandbags
were placed alongside him to prevent any movement. Both eyes were
patched closed to prevent eye movements. He had to be restrained
so he did not remove his eye bandages. A far cry from today’s
virtually painless procedure that is performed on an outpatient basis and people resume their daily
activities the same day. As for Monet, his vision was restored and his final years were spent
with renewed vigor. The effects of his vision on his work are immediately evident.
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