The long-term reliability of intracapsular extraction with Binkhorst 4-loop implant

I continue to do intracapsular cataract surgery under general anaesthesia and use a standardized surgical plan evolved over a period of 12 years with a 4-loop Rayner-Binkhorst lens, because: Results do not justify change. The incidence of ECD, CMO and RD is low. Re-operation is seldom needed. No alternative choice seems valid. Modifications are too frequent. Results are claimed on very short experience. Intracapsular surgery gives a higher proportion of 6/5 visual acuity. I mistrust commercial pressures.