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Article
April 1944

CATGUT SUTURES FOR CLOSURE OF THE DEEP CORNEOSCLERAL WOUND IN OPERATIONS FOR CATARACTA PRELIMINARY REPORT

Author Affiliations

MADISON, WIS.
From the Department of Ophthalmology, University of Wisconsin Medical School.

Arch Ophthalmol. 1944;31(4):321-322. doi:10.1001/archopht.1944.00890040059009
Abstract

The growing popularity of some form of suture of the so-called deep corneoscleral wound in operations for cataract has led me to try most of the types of sutures recommended by various surgeons. Difficulties have been encountered in insertion of many of these sutures while some, in my opinion, produce an unsatisfactory closure of the wound. For this reason I have recently tried various types of catgut. With the use of catgut one may insert one or more sutures in the deep wound and completely cover the wound with a conjunctival flap, the latter being sutured separately with silk.

METHOD  I prefer to make the usual limbal section with a von Graefe knife, with a complete conjunctival flap covering the entire deep corneoscleral wound. This can be most easily accomplished if the conjunctiva is pushed down with a spatula, or other semisharp instrument, before the section is begun, which frees

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