title: Vincenz Fukala (1847-1911) and the early history of clear-lens operations in high myopia.
abstract: Vincenz (Wincenty) Fukala, was born in 1847 in Zolkiew at Galicia in Poland, studied medicine and ophthalmology in Vienna in 1871. He was a pioneer in systematically extracting the clear crystalline lens in young patients with high myopia. He demonstrated the benefit to this group of increased visual acuity which enabled them to work and ophthalmologists gradually began to carry out surgery in high myopes worldwide. He persisted in operating despite the vigorous opposition of several authorities but, through sheer determination he convinced skeptics of the efficacy of his surgical method of lens dissection. He performed the first lens discission in 1887 and in 1894, he had successfully treated 44 patients. The late complication of retinal detachment, which was not understood until years later, eventually led surgeons to abandon the procedure until the recent improvements in both lenticular and retinal surgery techniques that led to better prognosis.
authors: University of Freiburg, Freiburg, Germany.
authors: Dieter
authors: D
authors: Schmidt
authors: Andrzej
authors: A
authors: Grzybowski
keywords: Cataract surgery; Clear-lens extraction; Fukala; Fukala’s operation; High myopia; History of ophthalmology; Refractive surgery; Retinal detachment
references: Curr Opin Ophthalmol. 2005 Feb;16(1):53-6
references: 15650580
references: Ophthalmology. 2003 Dec;110(12):2355-61
references: 14644718
references: Ophthalmology. 1994 Jan;101(1):107-12
references: 8302541
references: Arch Ophthalmol. 1997 Feb;115(2):257-8
references: 9046263
references: Surv Ophthalmol. 2011 Nov-Dec;56(6):550-6
references: 21762942
references: Ophthalmology. 1999 Dec;106(12):2281-4; discussion 2285
references: 10599657
references: Br J Ophthalmol. 2005 Jun;89(6):670-2
references: 15923498
references: J Cataract Refract Surg. 2003 Jan;29(1):34-8
references: 12551664
references: Arch Ophthalmol. 1987 Nov;105(11):1522-3
references: 3675284
references: Ophthalmology. 1987 May;94(5):571-82
references: 3299203
references: Ophthalmology. 2003 Dec;110(12):2349-54
references: 14644717
references: Arch Ophthalmol. 1994 Mar;112(3):336-9
references: 8129658
references: Ophthalmology. 1997 Jan;104(1):73-7; discussion 77-8
references: 9022107