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From the Archives of the Archives
May 1999

A look at the past. . .

Arch Ophthalmol. 1999;117(5):622. doi:10.1001/archopht.117.5.622

KNAPP (New York) described in his Recent experiences with cataract-operations, 1050 in number, of which the last 400 included all complicated cases. The method of operation was usually a simple extraction without iridectomy, and the incision at the border of the transparent cornea, almost half its extent. The capsule was opened with the cysitome to the extent of five or six mm in the upper part underneath the iris, so that the torn pupillary edge of the iris and the wounded capsule should not touch. Pressure at the lower part of the cornea easily delivers the lens, but contact of the border of the lid and the corneal wound should be avoided. Both eyes are bandaged afterwards, and the dressing changed after twenty-four hours. . . . In 355 operations prolapse of the iris occurred fifteen times(7.6%) and was successfully treated by iridectomy. Secondary operations were done in 40% of the cases. In three cases, glaucoma following discission was observed. Recovery was obtained by means of iridectomy, eserin, and morphine.