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Article
March 1953

HISTOLOGIC APPEARANCE OF AN EYE FOUR DAYS AFTER CATARACT EXTRACTION

Author Affiliations

NEW YORK
From the Eno Laboratory, New York Eye and Ear Infirmary.

AMA Arch Ophthalmol. 1953;49(3):285-292. doi:10.1001/archopht.1953.00920020294006
Abstract

IT IS ONLY on rare occasions that one is afforded an opportunity for the histologic study of an eye removed very soon after operation, particularly cataract extraction. Concepts of ocular wound healing are based mainly on studies of animal eyes,1 recently summarized by Dunnington.2 The healing process in cataract incisions begins anteriorly and proceeds posteriorly. Wounds covered by a conjunctival flap are first sealed by a fibrovascular plug from the surrounding episclera, the plug filling the outer half of the incision by the end of the second day; proliferation of endothelium begins after the fifth day. In the absence of a flap, corneal epithelium surrounding the incision proliferates to form a plug, which first bridges the anterior surface and then extends into the lips of the wound. Healing is firm in 10 to 12 days and is supposedly complete by the end of the 3d week. Abnormalities in

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