Advances in intraocular surgery have decreased the incidence of corneal complications that result in corneal failure requiring transplantation. Interest continues in further refining surgery to minimize endothelial cell damage. New irrigating solutions, viscoelastic substances, and even new techniques have been introduced. Debate continues over certain issues, such as intraocular lens choice in the absence of capsular support. Improved design has prompted many early critics to regain confidence in the anterior chamber lens. Literature of recent years also reflects a shift in focus toward hastening recovery time and maximizing uncorrected visual acuity through the advantageous control of corneal astigmatism. Several reports this year may herald the next wave of interest, that surrounding intraocular surgery after refractive corneal surgery.
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