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Article
March 1950

LATE FISTULIZATION OF OPERATIVE WOUNDSDiagnosis and Treatment

Author Affiliations

NEW YORK; FRAMINGHAM, MASS.
From the Department of Ophthalmology, Columbia University College of Physicians and Surgeons, and the Institute of Ophthalmology of the Presbyterian Hospital in the City of New York.

Arch Ophthalmol. 1950;43(3):407-418. doi:10.1001/archopht.1950.00910010416001
Abstract

AMONG the postoperative complications of intraocular surgery, those of late fistula formation and hypotony have received relatively little attention. We desire to emphasize a type of slowly leaking cicatrix, to describe the associated symptom complex and to present a method of therapy which we have found successful.

Owing to imperfect closure, any penetrating wound of an eyeball, either traumatic or surgical, may be followed by a cystoid scar. The creation of such a cicatrix is in some instances the aim of the surgeon, while in others the condition occurs when least desired. If such a cicatrix opens to the surface, a fistula is produced. This fistulous tract may be large or small. It may be constantly open, or it may be closed at times and open at others. The clinical appearance of the usual form, in which the fistula is large and open at all times, is well known. The

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