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September 21, 1912


Author Affiliations


JAMA. 1912;LIX(12):1060-1065. doi:10.1001/jama.1912.04270090304055

From time to time ophthalmic surgeons have tried to find some satisfactory means of closing the corneal wound after cataract extraction by mechanical means. Briefly, the means used have been some sort of sliding conjunctival flap, or direct suture of the wound, and it is with the latter alone that this paper will deal. The sutures have been applied either to the conjunctiva or the cornea.

The first published description of such attempts is that of H. W. Williams1 of Boston, who placed sutures through and through the lips of the corneal wound after extraction of cataract, and reported favorable results. He later modified this to the extent of placing the suture in the conjunctiva only. We occasionally hear yet of similar efforts, but as this method is resorted to after the completion of the operation, it has seemed objectionable, in that if a cataract extraction has been completed