The south Asian cataract management study.

The south Asian cataract management study ED1TOR,-In reading the preliminary report evaluating the clinical outcome of intracapsular cataract extraction (ICCE) with aphakic correction either via anterior chamber intra- ocular lens (AC IOL) implants or aphakic spectacles in a developing country setting I was given cause for alarm with regard to the assessment of the differences in visual out- come.' While the study is ongoing, I think it is important to recognise that a varying percentage (16-25%) of standard ICCE patients in a developing country setting will lose their spec- tacles and have problems adapting to the magnified image, forcing some patients not to wear them at all.2' By the same token, the