Despite major advances in phacoemulsification cataract surgery over the last 25 years, complications still occur, albeit at a relatively low rate. The Auckland Cataract Studies (ACS 2000-2020), led by McGhee et al, commenced with the appointment of the first anterior segment clinical research fellow, Dr Andrew Riley, to the University of Auckland in 2000. This initial prospective study of 500 procedures within the Auckland District Health Board (ADHB), demonstrated that significant intraoperative complication in phacoemulsification cataract surgery, such as posterior capsular tear, was 4.9% (registrars 5.4%, consultants 4.7%)¹. When compared to international studies in Australia, the UK and North America, this complication rate was similar to most teaching facilities.
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