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July 1954


Author Affiliations

From the Ophthalmological Service of the Montefiore Hospital, New York.

AMA Arch Ophthalmol. 1954;52(1):129-130. doi:10.1001/archopht.1954.00920050131017

THE SUTURE which is here described is a preplaced corneoscleral suture, being inserted at the limbus before any incision is made. It can be used either with or without a conjunctival flap. One or more sutures may be used in any part of the limbal area. I prefer three sutures, at 10:30, 12, and 1:30 o'clock.

The eye is prepared in the usual manner for cataract surgery, and the globe is steadied with fixation forceps. A 7 mm. Grieshaber needle attached to a 000000 nonabsorbable surgical (silk) suture is inserted near the limbus in the cornea, pene- trating about one-third of the corneal thickness. About 2 mm. of corneoscleral tissue should be included in this bite, with the needle emerging in the sclera. The needle is not pulled through but is left in the tissue, with both the tip end and the eye end protruding (Figure, I). All the needles,

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