Educating the implant surgeon

Intraocular lens implantation is a remarkable advance in the visual rehabilitation of the aphakic patient. The success of implantation is linked to the quality of the cataract surgery. Methods for refined cataract extraction include microsurgery and the use of newer instrumentation. The practiced cataract surgeon and the surgeon in training must master these techniques before implantation is undertaken. Intraocular lens surgery must likewise follow a logical progression from attendance and participation at practical courses to assisting at surgery, to implanting with an experienced intraocular lens surgeon present to monitor and assist, if necessary. As with any new technique, a variety of ancillary advances develop which also require understanding and expertise on the part of the surgeon. These affect judgmental decisions which become as important as the actual surgery. The field of implantation has continued to grow by providing new information on a variety of subjects. The novice implant surgeon, as well as the experienced implant surgeon, must constantly be aware of these advances and strive to master the techniques of this exciting and valuable field.