 In the 1980s, with the ever-increasing popularity of the Kelman phacoemulsification technique that emphasized a small incision and extra-capsular cataract extraction (ECCE), the keratome-and-scissors, large incision surgery technique combined with intracapsular cataract extraction (ICCE) became obsolete, although the use of the von Graefe knife still continued in India.Sutures had limited if any use in routine cataract surgery for the high-volume most experienced and skilled eye surgeons in the world.Their experience and skill resulted in the outstanding rural cataract camps so common in India.