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September 21, 1912

SUGGESTIONS REGARDING SOME POINTS IN THE TECHNIC OF CATARACT EXTRACTION

JAMA. 1912;LIX(12):1028-1029. doi:10.1001/jama.1912.04270090272047
Abstract

Having, some years since, tried "simple extraction," and having, like most ophthalmic surgeons, abandoned it, I offer in this paper "suggestions" having to do with "combined extraction" only, for the uncouth procedure known as the Smith operation has never appealed to me. Indeed, though I may be wholly in error, I am more than half inclined to the belief that not a few of those who have adopted this procedure have been led to do so through dissatisfaction with their iridectomies, their lack of success in securing an approximately classical coloboma—perhaps the most difficult step in combined extraction.

THE INITIAL INCISION  Whatever differences of opinion there may be as to the location of. the "corneal section" in simple extraction, there is in my mind no room for doubt that in combined extraction it should be, throughout, in the sclerocorneal juncture, and, further, that it is advantageous to secure a not-too-broad

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