Clarity unveiled: A journey through time in cataract surgery

J Perioper Pract. 2025 Jan 13:17504589241264400. doi: 10.1177/17504589241264400. Online ahead of print.

Abstract

This historical research article offers a comprehensive examination of the evolution of cataract surgery from ancient practices to modern innovations. The historical trajectory of cataract treatment will be explored, beginning with ancient techniques such as couching in ancient civilisations and progressing through critical milestones in surgical advancement. The research delves into the challenges faced by early practitioners, the emergence of novel techniques and the pivotal contributions of pioneering surgeons throughout history. From the rudimentary procedures of antiquity to the sophisticated technologies of the present day, the journey through time reveals medical professionals' remarkable ingenuity and perseverance in their quest to restore vision and improve the quality of life for patients afflicted by cataracts. Drawing upon historical sources, medical texts and scholarly research, this article provides insights into the social, cultural and technological factors that shaped the development of cataract surgery over millennia. It also examines the impact of crucial innovations such as extracapsular and intracapsular extraction, the advent of intraocular lens implants and the introduction of minimally invasive surgical techniques. Moreover, this research highlights the transformative effect of cataract surgery on individuals and societies from the ancient to the modern era. Hopefully, this research offers a compelling narrative of human ingenuity, scientific progress and the quest for clarity in treating cataracts.

Keywords: Cataract surgery; History of cataract surgery; Innovation; Ophthalmic surgery; Phacoemulsification.