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October 1937


Author Affiliations

New Haven, Conn.

From the Departments of Psychiatry and Ophthalmology of the Yale University School of Medicine and the Ophthalmologic Service of the New Haven Hospital.

Arch NeurPsych. 1937;38(4):818-832. doi:10.1001/archneurpsyc.1937.02260220162009

Psychoses complicate recovery from operations for cataract fairly frequently. Various authors1 have stated that serious mental disturbances occur in approximately 3 per cent of all cases in which an operation is performed. Although statistical evidence is not available, one gains the impression from a review of the literature that psychoses are more frequent in ophthalmologic than in general surgical practice.

Surgeons2 have emphasized that a severe mental disturbance after an operation on the eye constitutes a grave danger to the patient. It is customary to bandage both eyes after operation; so an excited patient is apt to injure himself by falling out of bed or by colliding with objects in the room. The eye which recently has been operated on is in an extremely delicate condition. It may be irreparably damaged if the intra-ocular pressure is raised by sudden movement or if the dressings are torn off by

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