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November 1962

Peripheral Iridectomy with Scleral CauteryA Report on the Operative Treatment of 72 Eyes with Glaucoma

Author Affiliations

From the Division of Ophthalmology, Department of Surgery, University of Colorado Medical School.

Arch Ophthalmol. 1962;68(5):581-586. doi:10.1001/archopht.1962.00960030585003

This paper presents the results of peripheral iridectomy with scleral cautery on 72 eyes of 60 patients with various types of glaucoma. Thirty-seven of the eyes in this series were previously reported1; 42 had been reported in the original paper, but 5 have been lost to follow-up. All patients have been examined within 8 months of the writing of this paper. The follow-up period is from 2 months to 4 years. Results for 58 of the eyes have been followed for longer than a year.

The operation, as described by Scheie,2 consists essentially of making a wide limbus-based flap, the application of thermal cautery to the area of sclera to be incised, a scratch incision over the root of the iris into the anterior chamber, reapplication of the cautery to cause retraction of the wound edges, and a peripheral iridectomy. When the iris does not prolapse spontaneously or

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