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April 9, 1887

REMARKS ON CATARACT EXTRACTION.Read before the Medical Society of the District of Columbia, Feb. 23, 1887.

JAMA. 1887;VIII(15):401-403. doi:10.1001/jama.1887.02391400009001b

Since the opening of the Garfield Memorial Hospital about two years ago, I have made twenty-five extractions of senile cataract. The number is not large, but the cases have been of such a character as will very properly serve as a basis for a few remarks on some of the mooted questions concerning this most important surgical operation.

The extraction in every case was effected through an upward incision in the cornea, made in accordance with the plan of De Wecker; that is, the upper third of the cornea was detached from the sclerotic, the incision lying wholly in the transparent tissue. Sometimes a flap of less magnitude was formed by the apex of the incision lying farther from the scleral border than the base, but this was only exceptional, and experience shows that it has no essential advantages over the incision as perfected by De Wecker and now very