Harold Ridley (ophthalmologist)
Encyclopedia
Sir Nicholas Harold Lloyd Ridley (10 July 1906, Kibworth Harcourt, Leicestershire
Leicestershire
Leicestershire is a landlocked county in the English Midlands. It takes its name from the heavily populated City of Leicester, traditionally its administrative centre, although the City of Leicester unitary authority is today administered separately from the rest of Leicestershire...

 – 25 May 2001, Salisbury, Wiltshire) was an English
England
England is a country that is part of the United Kingdom. It shares land borders with Scotland to the north and Wales to the west; the Irish Sea is to the north west, the Celtic Sea to the south west, with the North Sea to the east and the English Channel to the south separating it from continental...

 ophthalmologist who pioneered artificial intraocular lens
Intraocular lens
An intraocular lens is an implanted lens in the eye, usually replacing the existing crystalline lens because it has been clouded over by a cataract, or as a form of refractive surgery to change the eye's optical power. It usually consists of a small plastic lens with plastic side struts, called...

 transplant surgery for cataract
Cataract
A cataract is a clouding that develops in the crystalline lens of the eye or in its envelope, varying in degree from slight to complete opacity and obstructing the passage of light...

 patients.

Early years

Nicholas Harold Lloyd Ridley was the son of Nicholas Charles Ridley and his wife Margaret, née Parker; he had a younger brother, Olden. Harold had a stammer which he largely managed to cure.
He was very fond as a lapchild of Florence Nightingale, a very close friend of his mother.
He was educated at Charterhouse School
Charterhouse School
Charterhouse School, originally The Hospital of King James and Thomas Sutton in Charterhouse, or more simply Charterhouse or House, is an English collegiate independent boarding school situated at Godalming in Surrey.Founded by Thomas Sutton in London in 1611 on the site of the old Carthusian...

 before studying at Pembroke College, Cambridge
Pembroke College, Cambridge
Pembroke College is a constituent college of the University of Cambridge, England.The college has over seven hundred students and fellows, and is the third oldest college of the university. Physically, it is one of the university's larger colleges, with buildings from almost every century since its...

 from 1924–1927, and completed his medical training in 1930 at St Thomas' Hospital
St Thomas' Hospital
St Thomas' Hospital is a large NHS hospital in London, England. It is administratively a part of Guy's & St Thomas' NHS Foundation Trust. It has provided health care freely or under charitable auspices since the 12th century and was originally located in Southwark.St Thomas' Hospital is accessible...

. Subsequently he worked as a surgeon at Moorfield Eye Hospital and St Thomas' Hospital in London, specialising in ophthalmology. In 1938 Ridley was appointed full surgeon and consultant at Moorfields Hospital and later appointed consulted surgeon in 1946.

Cataract operations and intraocular lenses

While working with Royal Air Force
Royal Air Force
The Royal Air Force is the aerial warfare service branch of the British Armed Forces. Formed on 1 April 1918, it is the oldest independent air force in the world...

 casualties during World War II
World War II
World War II, or the Second World War , was a global conflict lasting from 1939 to 1945, involving most of the world's nations—including all of the great powers—eventually forming two opposing military alliances: the Allies and the Axis...

, Ridley noticed that when splinters of acrylic plastic from aircraft cockpit canopies became lodged in the eyes of wounded pilots, they did not trigger rejection, leading him to propose the use of artificial lenses in the eye to correct cases of cataracts.

He had a lens manufactured using the same material — brand name Perspex made by ICI
Imperial Chemical Industries
Imperial Chemical Industries was a British chemical company, taken over by AkzoNobel, a Dutch conglomerate, one of the largest chemical producers in the world. In its heyday, ICI was the largest manufacturing company in the British Empire, and commonly regarded as a "bellwether of the British...

 — and on 29 November 1949 at St Thomas' Hospital, Harold Ridley achieved the first implant of an intraocular lens, although it was not until 1950 that he left an artificial lens permanently in place in an eye. The first lens was manufactured by the Rayner
Rayner (company)
Rayner based in Brighton & Hove East Sussex is a British manufacturer of intraocular lenses and associated surgical instruments. With Sir Harold Ridley, they were pioneers in the field from 1949 when Ridley successfully implanted the first intraocular lens at St Thomas' Hospital, London.- The...

 company of Brighton & Hove, East Sussex, a company which continues to manufacture and market modern, small-incision versions of these lenses today.

In 1952 the first IOL implant was performed in the United States, a Ridley-Rayner lens implanted at the Wills Eye Hospital in Philadelphia.

Ridley went on to develop comprehensive programs for cataract surgery with intraocular implants and pioneered this treatment in the face of prolonged strong opposition from the medical community. He worked hard to overcome complications, and had refined the technique by the late 1960s. With his pupil Peter Choyce he eventually achieved worldwide support for the technique, and the intraocular lens was finally approved as "safe and effective" and approved for use in the USA by the Food and Drug Administration
Food and Drug Administration
The Food and Drug Administration is an agency of the United States Department of Health and Human Services, one of the United States federal executive departments...

 in 1981. These first U.S. Food and Drug Administration (FDA) approved lenses, (Choyce Mark VIII and Choyce Mark IX Anterior Chamber lenses) were manufactured by Rayner. Cataract extraction surgery with intraocular lens implantation is now the most common type of eye surgery.

Other work and later life

Harold Ridley also led important research into onchocerciasis
Onchocerciasis
Onchocerciasis , also known as river blindness and Robles' disease, is a parasitic disease caused by infection by Onchocerca volvulus, a nematode . Onchocerciasis is the world's second-leading infectious cause of blindness. It is not the nematode, but its endosymbiont, Wolbachia pipientis, that...

 when he was stationed in Ghana
Ghana
Ghana , officially the Republic of Ghana, is a country located in West Africa. It is bordered by Côte d'Ivoire to the west, Burkina Faso to the north, Togo to the east, and the Gulf of Guinea to the south...

 for part of his war service in World War II
World War II
World War II, or the Second World War , was a global conflict lasting from 1939 to 1945, involving most of the world's nations—including all of the great powers—eventually forming two opposing military alliances: the Allies and the Axis...

.

Ridley retired from NHS hospital service in 1971 and received many awards over the next 29 years. He was a Fellow of the Royal College of Surgeons
Royal College of Surgeons of England
The Royal College of Surgeons of England is an independent professional body and registered charity committed to promoting and advancing the highest standards of surgical care for patients, regulating surgery, including dentistry, in England and Wales...

 and a Fellow of the Royal Society
Royal Society
The Royal Society of London for Improving Natural Knowledge, known simply as the Royal Society, is a learned society for science, and is possibly the oldest such society in existence. Founded in November 1660, it was granted a Royal Charter by King Charles II as the "Royal Society of London"...

. In February 2000, Harold Ridley was knighted by HM Queen Elizabeth II at Buckingham Palace in London.

Sir Harold Ridley resided in Wiltshire until his death on 25 May 2001.

External links

  • haroldridley.com site about the biography by David J. Apple, M.D.
  • "A visionary recognised" profile marking the centenary of his birth in The Times
    The Times
    The Times is a British daily national newspaper, first published in London in 1785 under the title The Daily Universal Register . The Times and its sister paper The Sunday Times are published by Times Newspapers Limited, a subsidiary since 1981 of News International...

     September 22, 2006
  • "Sir Harold Ridley" in Cataract & Refractive Surgery Today March 2004
  • "A pioneer in the quest to eradicate world blindness" in the Bulletin of the World Health Organization
    World Health Organization
    The World Health Organization is a specialized agency of the United Nations that acts as a coordinating authority on international public health. Established on 7 April 1948, with headquarters in Geneva, Switzerland, the agency inherited the mandate and resources of its predecessor, the Health...

     2003
  • "He changed the world - So that we might better see it" in the Arquivos Brasileiros de Oftalmologia February 2002
  • "Valediction: Sir Harold Ridley's vision" in the British Journal of Ophthalmology September 2001
  • The Birth of the IOL part of the history of Rayner, manufacturer of the first IOL
    Intraocular lens
    An intraocular lens is an implanted lens in the eye, usually replacing the existing crystalline lens because it has been clouded over by a cataract, or as a form of refractive surgery to change the eye's optical power. It usually consists of a small plastic lens with plastic side struts, called...

  • "Harold Ridley and the Invention of the IOL" in Survey of Ophthalmology January 1996
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