We describe the technique of sealed capsule irrigation, which aims to reduce posterior capsule opacification and better control lens epithelial cell activity.

The Miyake-Apple technique for posterior photography and video analysis of postmortem eyes and its variations provide a unique view of the anterior segment structures and surgical manipulations that are not readily seen during surgical procedures or by clinical inspection. It is particularly useful in studying and teaching anterior segment surgery, especially cataract and intraocular lens (IOL) surgery. We summarize the peer-reviewed literature on the use of this technique (1) in experimental studies with fresh human or animal eyes to analyze new IOLs and surgical techniques, (2) in formalin-fixed human pseudophakic autopsy eyes to study IOL-related complications, and (3) for teaching and training purposes.

Purpose To evaluate the rotational stability of the Acrysof Toric intraocular lens (IOL) after experimental eye trauma. Methods Two human cadaver eyes were prepared in accordance with the Miyake-Apple technique, with closed-system modification. After phacoemulsification, an Acrysof Toric IOL was implanted in the capsular bag. Experimental traumatisation of the globe was achieved by pressing against the eye wall using a cotton tip or a fingertip, whereas the IOL was observed from the posterior view. Digital photographs of the eye before and after the procedures were overlaid to detect and measure rotation of the IOL. Results The IOL rotated 5.801 when the traumatic procedures did not cause important leakage from the incision. When the traumatic procedures caused important leakage from the incision and anterior chamber collapse, the IOL rotated 41.001. Conclusion Ocular trauma can cause rotation of the Acrysof Toric IOL. In the event of an eye trauma with no or insignificant leakage from the incision, the IOL rotates less than when the trauma causes significant leakage from the incision.

Short exposure of LECs to DDW induced extensive and rapid cell lysis. Distilled-deonized water may be a useful agent for instillation in the capsular bag during sealed-capsule irrigation to prevent posterior capsule opacification.

CORRESPONDENCE 2. David R, Yagev R, Schneck M, et al. The fate of eyes with culture dish (Figure 1). The cells were then exposed anterior chamber intra-ocular lenses. Eur J Ophthalmol to treatment with distilled deionized water. Within 1993; 3:42-46 60 seconds of exposure, the LECs were markedly swollen 3. Haider S. Spontaneous extrusion of an intraocular lens with grossly morphologically intact cell membranes (Figure implant. J Cataract Refract Surg 1992; 18:529-530 2). At 90 seconds, there was clear disruption of the cell 4. McKnight GT, Richards SC, Apple DJ, et al. Transcorneal

Charles David Kelman was born in Brooklyn, New York, USA, on 23 May 1930 and passed away in Boca Raton, Florida, USA, on 1 June 2004 at the age of 74 years after a long battle with cancer. He received a Bachelor of Science degree from Tufts University in 1950 and completed medical studies at the University of Geneva, Switzerland, in 1956. He was Clinical Professor of Ophthalmology at New York Medical College and an Attending Surgeon at New York Eye and Ear Infirmary and Manhattan Eye, Ear and Throat Hospital. Although a prolific inventor, he will be best remembered for developing phacoemulsification, following his realization while sitting in a dentist's chair, that ultrasonic vibrations could be used to emulsify the aged crystalline lens through a very small incision. His pioneering work revolutionized cataract surgery. He also pioneered cryo-extraction of cataracts, the use of freezing for the repair of retinal detachments and designed numerous ophthalmic instruments and intraocular lenses. Dr Kelman received numerous awards, including the American Academy of Ophthalmology Achievement Award (1970), the Ridley Medal from the International Congress of Ophthalmology (1990), and the Inventor of the Year Award from The New York Patent, Trademark and Copyright Law Association (1992). Most recently (2003), Dr Kelman was honoured by the American Academy of Ophthalmology with the Laureate Recognition award. Dr Kelman was also an accomplished Broadway producer, composer and jazz saxophonist. With his demise, the ophthalmic and medical community lost a famed inventor with multifaceted talents and one of the great ophthalmologists of the twentieth century.

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