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August 20, 1910

Fixing the Eyeball in Cataract Extraction

JAMA. 1910;55(8):712. doi:10.1001/jama.1910.04330080078027

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To the Editor:  Since the publication of my paper, read at the St. Louis meeting, I have been informed by my friend, Dr. Ziegler of Philadelphia, that my method of fixing the eyeball in cataract extraction was first resorted to by Macnamara. The following is quoted from page 54 of the fourth edition of his book: "Suppose the right eye is to be operated on; the surgeon, standing behind his patient, with a pair of fixing forceps, seizes a fold of the conjunctiva, together with the tendon of the internal rectus, so as to have a steady, firm hold on the eyeball." On page 56 he mentions the fact that the tendon grasp is continued while he dislocates and delivers the cataract with a scoop. Of course I must surrender my claim of originality, so far as the grasp of the tendon of the internal rectus muscle is concerned. My

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