Initially, the surgery consisted of the simple lens dislocation stop glassy hyper-mature. The evolution of surgical technique made popular the intra-capsular extraction technique of the lens (EICC), eith complete extraction of the lens through a large incision; and the implant of a new lens was not carried out. More recently, it evolves to phacoemulsification surgery, in which the lens is emulsified, allowing a smaller incision and deploying a foldable lens with less aggression to ocular structures. The safety and visual results made this choice technique and broadened the acceptance of this procedure by the population. The surgical technique with minimal handling of the previous segment performed quickly allows more than 95% of the surgerirs are performed with local anesthesia.