Extracapsular Cataract Extraction

A less common method of cataract surgery is extracapsular cataract extraction (ECCE). This procedure, which was developed before phaco, is often used for removal of very advanced cataracts that may be too hard to break up using phaco or in patients who have multiple eye conditions that render phaco a less desirable surgical option.

ECCE requires a larger incision than phaco, perhaps 10 to 12 millimeters long, at the side of the cornea so the cataract can be removed in a single piece. Visual recovery may be slower after ECCE than phaco and there may be more discomfort because of the larger incision and sutures that are required to close it.

Once the cataract is removed, an IOL is implanted in the eye. Given that a larger incision has been made to remove the cataract-damaged natural lens, the surgeon has the option of inserting a nonfoldable IOL made from a medical-grade Plexiglas-like material or a foldable material as discussed above.