The long-term reliability of intracapsular extraction with Binkhorst 4-loop implant. 
I continue to do intracapsular cataract surgery under general anaesthesia and use a standardized surgical plan evolved over a period of 12 years with a 4-loop Rayner-Binkhorst lens, because: Results do not justify change.  The incidence of ECD, CMO and RD is low.  Re-operation is seldom needed.  No alternative choice seems valid.  Modifications are too frequent.  Results are claimed on very short experience.  Intracapsular surgery gives a higher proportion of 6/5 visual acuity.  I mistrust commercial pressures.