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August 7, 1926


JAMA. 1926;87(6):392-397. doi:10.1001/jama.1926.02680060016006

In an effort to safeguard every step in the "expression" 1 of cataract after capsulotomy, the routine here described has been developed. This paper deals solely with certain points in operative technic; hence the general preoperative preparation of the patient will not be discussed.

LOCAL PREPARATION  A culture is made in every case. If the conjunctival sac is clinically clean and there is no evidence of dacryocystitis, little attention is paid to the bacteriologic report. Atropine, 2 per cent, is instilled one hour and also one-half hour before operation. The lids, lashes and ocular adnexa are thoroughly scrubbed with liquid soap. The eye is then flooded with from 10 to 15 drops of a 4 per cent solution of strong silver protein, which is allowed to remain in contact with the conjunctiva for five minutes. A stream of a tepid solution of boric acid (2 per cent) rather forcibly washes

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