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From the Archives of the Archives
July 2000

A look at the past . . .

Author Affiliations

Copyright 2000 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2000

Arch Ophthalmol. 2000;118(7):988. doi:10-1001/pubs.Ophthalmol.-ISSN-0003-9950-118-7-eya00009

Corneal Sutures. These were very slow in adoption. Elschnig, speaking of wound sutures, commented on how slowly ophthalmic surgeons adopt advances in general surgery. Czermak, in 1888, was probably the first to pass a suture through the cornea and sclera on both sides of the center of the incision after making the section. He abandoned the method on account of infection and prolapse of the iris.

After a number of years, interest in suturing slowly developed, and the necessity of the sutures passing through the corneal and scleral tissues in order to obtain exact coaptation of the wound surfaces without overriding is now generally recognized. The sutures must not cause traction or deformity of the eyeball.