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July 23, 1955

Advanced Surgery of Cataract

JAMA. 1955;158(12):1144. doi:10.1001/jama.1955.02960120144024

In this book Dr. Kirby focuses attention on some of his newer approaches, advanced ideas, theories, and techniques, beginning with the complete preparation of the cataract patient by individual appraisal. He emphasizes the importance of sedation, anesthesiology (local or curare), and attention to the operating room equipment, medications, and sterility. His comments on the attitude and psychological approach of the ophthalmologist and operating room personnel illuminate a phase in cataract surgery often overlooked. He stresses the elevation of the corneal flap for clear, direct visualization of iris details, the cataract, the zonular attachment, and their attachments to the preequatorial area of the capsule. He considers the indications and reasons for the round pupil intracapsular lens delivery with the forceps at the 12 o'clock position in the preequatorial region. His chapter on the normal and pathological vitreous and its physico-chemical state is revealing and informative. He discusses the postoperative degeneration of

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