For years ophthalmologists have endeavored to find out safe procedures for cataract surgery. The successful results actually obtained with the techniques in use must be gratifying to all those who, in the past and present, have contributed to their achievement.
The use of keratome and scissors in making the incision, the introduction of corneoscleral sutures, intracapsular extraction, and peripheral iridectomy have marked the main steps in the progress of cataract surgery.
I divide a cataract operation into several stages: (a) calming the patient and local or general anesthesia, (b) the making and closing of the incision, (c) total or peripheral iridectomy, (d) the extraction of the cataract (intra- or extracapsular, forceps or vacuum), and (e) postoperative care.
Without minimizing the importance of the different stages, such as having a quiet patient and a good local anesthesia, one may say that the most important one is the making and closing of
ESCAPINI H. The Cataract WoundIts Making and Closure. AMA Arch Ophthalmol. 1958;59(5):653-656. doi:10.1001/archopht.1958.00940060037002