Excerpt from The Journal of the American Medical Association, Vol. 35: October 6, 1900-December 29, 1900
A conjunctival ﬂap was made in twelve cases, but there was so frequently a hemorrhage which obscured the field of operation that I have not lately used it save when accidentally made. In a large majority of cases the knife has, just before the completion of the section, been turned outward and the exit made in clear cornea about one millimeter from the sclerocorneal margin. Although such a section, it is stated, is more likely to entangle the iris and more liable to primary or second ary infection, it has not proved so in my experience. I have found the ﬂap to close accurately, prolapse of the iris has been less frequent and I have seen no reason to discard the practice save that it is not advised in the books.
After the corneal section I remove the speculum, and make the cystotomy while holding the upper lid by pressure over the orbital arch. My losses of vitreous seven cases - all occurred with the speculum in place. The accident has not occurred when the lid has been held.
Cystotomy has been made by the semicircular and crucial incision, and I am unable to detect any differ ence in the ease of extraction or the resulting condition of the iris and capsule. Simple extraction was done in but eighteen cases, the combined Operation in sixty-six cases, and I am led to prefer the method with iridectomy for the following reasons.
About the Publisher
Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com
This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.show more