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December 7, 1901


Author Affiliations


JAMA. 1901;XXXVII(23):1513-1517. doi:10.1001/jama.1901.62470490011001c

Until very recently I have performed all extractions of cataract by the combined method, that is to say, with iridectomy, and in a considerable percentage of cases the iridectomy was performed as a preliminary operation from four to six weeks before the extraction was undertaken. This plan was adopted for the reason that I believed the prognosis was better, especially with preliminary iridectomy. For the past few years, prompted by the favorable reports of other surgeons, I have done the simple extraction, but with a few exceptions only in selected cases. The grounds for selection were the absence of any noteworthy pathological history, or discoverable indication of pronounced uveal disease; a promptly reacting iris, a pupil which dilated readily to at least large medium under a mydriatic; and a lens with more or less well-defined sectors and without transparent anterior cortex, that is to say a ripe cataract. A long

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