Utilizing ideas from several operators and adding some of my own, I have developed and used in 10 cases a technic emphasizing the following features :
A vertical incision of the conjunctiva, about 13 mm. long, beginning 5 mm. from the limbus, at 9 o'clock in the left eye and at 3 o'clock in the right eye.
Wide separation of the conjunctiva over the upper half of the globe.
Opening of the anterior chamber, with a keratome incision, under the everted edge of the flap.
Completion of the section, with scissors, under the flap.
Extraction of the lens with the loop, depressing the sclera under the flap.
A water-tight closure of the incision.
Control of the eye is obtained with the usual akinesis, retrobulbar injection and superior rectus traction suture. The iris is widely dilated with a short-acting mydriatic. No iridectomy is done. Contraction is maintained for several days with
IRVINE RS. REMOVAL OF THE DISLOCATED LENS UNDER A CONJUNCTIVAL POCKET FLAP. Arch Ophthalmol. 1945;34(5):398. doi:10.1001/archopht.1945.00890190400007