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From the Archives of the Archives
June 2000

A look at the past . . .

Arch Ophthalmol. 2000;118(6):760. doi:10.1001/archopht.118.6.760

Elschnig (1931), on reviewing his results with the various intracapsular methods, came to the following conclusions: He abandoned the Smith operation because an iridectomy was always necessary and the loss of vitreous was too great. The Barraquer method was too difficult and caused too much loss of vitreous. He was pleased with the forceps operation and recommended it for general adoption. This manuever succeeded in 80 per cent of the cases; in 10 per cent the capsule ruptured, and in 10 per cent the forceps did not take hold. Of 468 cases from his clinic, loss of vitreous occurred in 25. The capsule ruptured in 23 cases. In 40 cases the pupil was drawn upward; glaucoma was observed in 5 cases, and detachment occurred in 2 cases.

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