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Richard Packard MD DO FRCS FRCOphth FEBOS-CR (20th February 1947) is a British ophthalmic surgeon who specialised in the treatment of cataract. This condition is still a major cause of blindness worldwide. As well as designing instruments for cataract surgery he is known for his teaching of this surgery.

Career: Richard Packard was educated at Harrow School near London. He trained to be a doctor at the Middlesex Hospital Medical School in London and qualified MBBS in 1970. In 1975 he obtained the Diploma in Ophthalmology and in 1976 the Fellowship of the Royal College of Surgeons. Having passed his fellowship exam realtively early he decided to work towards an MD. The subject had been suggested by Norman Ashton who was then the head of the Institute of Ophthalmology in London. The thesis was written on choroidal malignant melanoma looking at tumour histological classification, size, position and mortality comparing radical and conservative treatment. The degree was awarded in 1978 after he had carried out the work for it whist a full time resident at Moorfields Eye Hospital. In 1991 after the founding of the College of Ophthalmologists (later Royal) he became FCOphth, now FRCOphth. In 2019 he was awarded the Fellowship of the European Board of Ophthalmology in the specialty of Cataract and Refractive Surgery. His first medical appointment was at the Middlesex Hospital in London in ophthalmology and dermatology. It was this time under Sir Allen Goldsmith, Derek Ainslie and Peter MacFaul all distinguished ophthalmologists, which spurred his interest in that specialty. Amongst other training appointments were those at the Hospital for Sick Children Great Ormond Street (1972), the National Hospital for Nervous Diseases (1974) and Moorfields Eye Hospital (1975-78). In 1979 as Senior Registrar at Charing Cross Hospital working under Eric Arnott, he first started to perform minimally invasive phacoemulsification surgery for the removal of cataract and lens implantation. Whilst at Moorfields he had never seen an intraocular lens implanted by any of the surgeons working there. It had been Eric Arnott who had introduced phaco to Europe in 1973 but very few people there were doing this technique routinely until the late 1980s. It was Richard Packard who in 1981 published the first description in the medical literature of the use of a folded soft lens in cataract surgery in a rabbit study. Richard was appointed to the world-renowned Prince Charles Eye Unit in Windsor UK in 1982 as consultant surgeon and retired from there in 2016.He immediately set about setting up teaching courses for cataract surgery with both live surgery performed as well as didactic teaching. There was little enthusiasm at this time in the UK for phacoemulsification and initially people were more interested in moving from intracapsular cataract surgery, where the whole cataractous lens is removed to extracapsular techniques when the structure surrounding the lens is left behind to support an intraocular lens. The Prime Minister of the UK Margaret Thatcher, who was already his patient, developed in August 1983 a retinal tear which led to a detachment. Packard successfully operated on her and repositioned the retina which resulted in a very good visual outcome. In 1984 he began teaching phaco again in the UK but there was no real change in usage of this until the early 1990s when foldable lenses that could pass through the small incision in the eye started to become more available. Other countries were quicker to adopt phaco than the UK and Packard in 1986 travelled with Charles Kelman MD, the inventor of phacoemulsification, to teach the technique in London, Antwerp, Munich, Bologna and Athens. We performed live surgery and lectured.

In 1997 in Chester at the UKISCRS meeting celebrating 25 years of phaco in Europe Richard Packard was part of a distinguished faculty including Charlie Kelman, Eric Arnott, Bob Sinskey, David Apple and Slava Fyodorov. In his long career he has continued teaching and training cataract surgery in 61 countries and the last 10 years gave over 400 lectures.

Further contributions: As a key opinion leader, Packard has assisted as an advisor in the development of many new machines for phacoemulsification, new intraocular lenses and new microscopes. He implanted the world’s first foldable hydrophobic acrylic intraocular lens, called AcrySof, in 1990. He has developed many instruments for use in cataract surgery. In 2007 Richard designed the Packard phaco tip which, at 700 microns, is made for microincisional cataract surgery. In 2010 he designed and jointly has a patent on the Windsor Knife for consistent, accurate cataract surgery wounds. Currently Richard has been advising on a new selective laser for capsulotomy during cataract surgery. Since leaving Windsor he has continued to teach all over the world as an invited speaker.

Other experience: Richard was a board member of the European Society of Cataract and Refractive Surgeons from 1999-2007. Member of the Cataract Clinical Committee of American Society of Cataract and Refractive Surgery from 2004-2008 and is now on their Programme Committee. He has chaired the ESCRS Video Competition Judging Panel since 2000. He is on the Education Committee of ESCRS and runs the Cataract Didactic Teaching Course. He is on the peer review panel for the Journal of Cataract and Refractive Surgery, Eye, the British Journal of Ophthalmology and the European Journal of Ophthalmology and regularly contributes to ophthalmic journals. He was chairman of the editorial Board of Ocular Surgery News Europe for 2014 and 15. He is on the board of examiners of the new European Board of Ophthalmology sub-specialty exam in cataract and refractive surgery. He is past Chairman of the Association of Ophthalmologists of the UK and deputy chairman of the Federation of Independent Practitioner Organisations. He has been chairman of FIPO since 2019. FIPO is an overarching body that has most of the professional medical and surgical organisations as members and is involved in healthcare in the independent sector. He has been in private practice since 1981 and recently sold his multidisciplinary ophthalmic practice (Arnott Eye Associates) to a pan European company, Optegra, who own ophthalmic clinics and hospitals.

Charitable work: In 1984 Richard joined the Cyclotron Trust for cancer treatment as a trustee. This was a charity set up by Dr Mary Catterall to try to raise money for a cyclotron to create neutrons for cancer treatment. This was a very contentious issue amongst the radiotherapy establishment but by the end of the decade we had secured government support through the good offices of the prime minister and a loan toward the project. The cyclotron was to be sited in a new facility at St Thomas’ Hospital in London. Unfortunately, when Margaret Thatcher fell from office the government withdrew the offer of funding. The trust has continued until 2020 in the last 5 years Richard Packard was the chairman. Over the past 20 years the trust has been funding short term fellowships for senior trainees and junior radiotherapy consultants and physicists to visit units abroad that were using [particle therapy for treating cancer. Latterly this has been particularly those using carbon ions which have some radiobiological similarities to neutrons. The Royal College Of Radiologists have received the remaining trust funds to continue this type of sponsorship.

Awards and honours: 2004 Gold medal lecturer at the Australasian Society of Cataract and Refractive Surgeons Broome Western Australia 2006 Gold medal lecturer Eye Advance Mumbai India 2009 Finlayson Lecturer at the Royal College of Physicians and Surgeons of Glasgow Scotland 2011 in Kuala Lumpur he was the first Ton Hussein Onn Medal orator. 2014 International Intraocular Implant Club medal lecturer London UK 2015 European Society of Cataract and Refractive Surgeons Binkhorst Medal lecturer in Lisbon Portugal 2015 Lifetime Achievement Award from United Kingdom and Ireland Society of Cataract and Refractive Surgeons 2017 CSTLII International Honored Guest Lecturer Naples Florida USA 2017 OSA LC Datta Memorial Lecture Guwahati India 2017 Kelman Lecturer Video Catarrata Refrattiva in Milan Italy 2018 he was an Honored Guest of American Society of Cataract and Refractive Surgery in Washington DC 2018 King Khaled Memorial Lecturer in Riyadh Saudi Arabia 2018 Sviatoslav Fyodorov Memorial Lecture in Moscow Russia 2019 Eurasia IIRSI award and Gold Medal Delhi India

Publications: Books and chapters: 1979 Ophthalmic surgery chapter in Hamilton Bailey Emergency surgery                                                                                       1985 Cataract and lens implant surgery with JJ Kanski                                                                                                            1991 A manual of cataract and intraocular lens surgery with FC Kinnear                                                                                        1998 Chapter in Phacoemulsification, laser cataract surgery and foldable IOLs                                                                                 1999 Chapter in Phacoemulsification principles and techniques 1st edition                                                                                        2003 Chapter in Phacoemulsification principles and techniques 2nd edition                                                                                          2005 Chapter in Advances in ophthalmology                                                                                                                  2009 Chapter in Cataract surgery today                                                                                                                                  2013 Chapter in The eye in history                                                                                                                                     2015 Chapter in Multifocal lenses 1st edition                                                                                                                   2017 Chapter in Anterior segment OCT                                                                                                                               2019 Chapter in Bag in the lens surgery                                                                                                                                        2019 3 chapters and joint editor with Lucio Buratto The history and evolution of modern cataract surgery                                                                                                                                                                                      2020 Chapter and joint editor with Lucio Buratto The history of refractive surgery                                                                              2020 Chapter in Multifocal lenses 2nd edition                                                                                                                     2021 Chapter in Yanoff and Duker Ophthalmology                                                                                                                                                                                                                                                                                                                                                                                       2021 Chapter in cataract and lens surgery

Peer reviewed papers: Poly-HEMA as a material for intraocular lens implantation: a preliminary report. Packard RB, Garner A, Arnott EJ. Br J Ophthalmol. 1981 Aug;65(8):585-7

Pattern of mortality in choroidal malignant melanoma Packard RB. Br J Ophthalmol. 1980 Aug;64(8):565-75

Postoperative variations in intraocular lens injector dimensions and corneal incisions. Packard R.         J Cataract Refract Surg. 2019 Sep;45(9):1360-1361.

The evolution of the anterior capsulotomy. Wyględowska-Promieńska D, Jaworski M, Kozieł K, Packard R. Wideochir Inne Tech Maloinwazyjne. 2019 Jan;14(1):12-18

Understanding phacodynamics. Packard R. J Cataract Refract Surg. 2010 May;36(5):876-7.

Comparison between using INTEGRA and manual method in determining axis for intraocular lens implantation: Preliminary retrospective study. Jaworski M, Wyględowska-Promieńska D, Jaworski P, Jaskot K, Bieda R, Packard R. Medicine (Baltimore). 2020 Jan;99(5)

Efficacy and safety of a new selective laser device to create anterior capsulotomies in cataract patients. Stodulka P, Packard R, Mordaunt D. J Cataract Refract Surg. 2019 May;45(5):601-607

Comparison of anterior capsulotomy techniques: continuous curvilinear capsulorhexis, femtosecond laser-assisted capsulotomy and selective laser capsulotomy. Daya S, Chee SP, Ti SE, Packard R, Mordaunt DH. Br J Ophthalmol. 2020 Mar;104(3):437-442

Parameters affecting anterior capsulotomy tear strength and distension.Daya SM, Chee SP, Ti SE, Packard R, Mordaunt DH. J Cataract Refract Surg. 2019 Mar;45(3):355-360

Refractive lens exchange for myopia: a new perspective? Packard R. Curr Opin Ophthalmol. 2005 Feb;16(1):53-6 ASCRS White Paper: clinical review of intraoperative floppy-iris syndrome. Chang DF, Braga-Mele R, Mamalis N, Masket S, Miller KM, Nichamin LD, Packard RB, Packer M; ASCRS Cataract Clinical Committee. J Cataract Refract Surg. 2008 Dec;34(12):2153-62

Avoiding lens-iris diaphragm retropulsion syndrome. Packard RB. J Cataract Refract Surg. 2010 Jul;36(7):1245 ASCRS White Paper: What is the association between clear corneal cataract incisions and postoperative endophthalmitis? Nichamin LD, Chang DF, Johnson SH, Mamalis N, Masket S, Packard RB, Rosenthal KJ; American Society of Cataract and Refractive Surgery Cataract Clinical Committee. J Cataract Refract Surg. 2006 Sep;32(9):1556-9

Confusion about the importance of phaco tip configuration in comparing machine performance. Packard R. J Cataract Refract Surg. 2016 Sep;42(9):1391

Antipsychotic agent as an etiologic agent of IFIS. Pringle E, Packard R. J Cataract Refract Surg. 2005 Dec;31(12):2240-1

Adherent ocular bandage for clear corneal incisions used in cataract surgery. Calladine D, Ward M, Packard R. J Cataract Refract Surg. 2010 Nov;36(11):1839-48

Relationship between hydrodynamic parameters and endothelial cell loss after phacoemulsification. Packard R. J Cataract Refract Surg. 2009 Dec;35(12):2178

Combined occlusion-triggered longitudinal and torsional phacoemulsification during coaxial microincision cataract surgery: effect on 30-degree mini-flared tip behavior. Ratnarajan G, Packard R, Ward M. J Cataract Refract Surg. 2011 May;37(5):825-9

Clinical experience with intraoperative floppy-iris syndrome. Results of the 2008 ASCRS member survey. Chang DF, Braga-Mele R, Mamalis N, Masket S, Miller KM, Nichamin LD, Packard RB, Packer M; ASCRS Cataract Clinical Committee. J Cataract Refract Surg. 2008 Jul;34(7):1201-9

Hyaluronidase allergy after peribulbar anesthesia with orbital inflammation. Quhill F, Bowling B, Packard RB. J Cataract Refract Surg. 2004 Apr;30(4):916-7

Clear corneal incision architecture in the immediate postoperative period evaluated using optical coherence tomography. Calladine D, Packard R. J Cataract Refract Surg. 2007 Aug;33(8):1429-35

Prophylaxis of postoperative endophthalmitis after cataract surgery: results of the 2007 ASCRS member survey. Chang DF, Braga-Mele R, Mamalis N, Masket S, Miller KM, Nichamin LD, Packard RB, Packer M; ASCRS Cataract Clinical Committee. J Cataract Refract Surg. 2007 Oct;33(10):1801-5

Posterior assisted levitation for nucleus retrieval using Viscoat after posterior capsule rupture. Chang DF, Packard RB. J Cataract Refract Surg. 2003 Oct;29(10):1860-5

Effect of 1-piece and 3-piece AcrySof intraocular lenses on the development of posterior capsule opacification after cataract surgery. Bender LE, Nimsgern C, Jose R, Jayaram H, Spalton DJ, Tetz MR, Packard RB, Meacock W, Boyce J. J Cataract Refract Surg. 2004 Apr;30(4):786-9

Re: Comparison of a torsional handpiece through microincision versus standard clear corneal cataract wounds. Packard R. J Cataract Refract Surg. 2009 May;35(5):797-8

Intraoperative floppy-iris syndrome associated with tamsulosin. Allen D, Packard R. J Cataract Refract Surg. 2006 Nov;32(11):1899-900

Personal life: Packard was born in Hove Sussex the eldest child of John Jacob Packard and Priscilla Lilian (née Joseph). In 1974 he married Veronica Susan Bird and they had 3 children, Rupert 1978, Hugo 1980 and Elvira 1984. The marriage was dissolved in 1986 and he remarried Fiona Catherine Kinnear in 1987. They have two children Ian 1990 and Lucy 1992. The family have a holiday home near Thurso in Caithness Scotland near to salmon fishing. A hobby that is shared by Richard and Fiona.