Cataract Extraction

Cataract Extraction

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1908 edition. Excerpt: ...in completing the section, but in other eyes (see p. 64) the knife in cutting up parallel to the iris becomes placed behind the conjunctiva above. But it has yet to be shown that infection can be certainly excluded with such a section. In Bombay we have been able to exclude suppurations entirely with our sclero-corneal section, both those beginning in the cornea and those beginning as severe irido-cyclitis. It is to be noted that we did not entirely escape irido-cyclitis ending in sympathetic loss of the fellow eye. We had reason to think, however, that finally this possibility had been practically excluded. And there is no doubt the cases observed were due largely to neglect after operation. The question is of importance here, because in old days it was found that the reduction of corneal wound suppurations by the adoption of von Graefc's peripheral linear section was counterbalanced by an increase of losses from deep infective inflammations ending sometimes in sympathetic ophthalmia. But there is little doubt that these losses were mainly, if not entirely, attributable to the frequent incarcerations of iris in the very peripheral wounds. The Downward Section was practically the only one available for the early operations without anaesthesia. Neither speculum nor fixation forceps was needed, and the whole operation was less painful and less trying to the patient. The lens and cortical remains were comparatively easily expressed, and the manipulation of the various instruments could be carried out conveniently without much exposure of the eyeball. The ordinary lower section, however, has serious drawbacks. The risk of infection is increased by the danger of accidental contact of the wound with the lower lid margin in movements of the eye during...show more

Product details

  • Paperback | 116 pages
  • 189 x 246 x 6mm | 222g
  • Rarebooksclub.com
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 123667331X
  • 9781236673312