The operative advantages obtained in modern cataract operations by the use of morphine and scopolamine hydrobromide to remove the nervous worry and concern of the patient and by the use of procaine hydrochloride to interrupt the deep pain reflex through the ciliary ganglion, as well as to control the orbicularis and limit the movements of the eyeball, have without doubt added encouragement to the development of procedures that would have been considered too tedious or painful a decade or so ago.
This is particularly true for suturing in the cataract operation, which has been regarded by many of the best surgeons as tedious and unremunerative to the point of disadvantage and even handicap. Yet if it can be demonstrated that proper sutures actually do reduce the accidents and improve end-results, the necessary time and labor will be given to them. A list of some of the difficulties is
WALKER CB. EXACTLY APPOSITIONAL SUTURES IN THE CATARACT OPERATION. Arch Ophthalmol. 1930;4(4):521–529. doi:10.1001/archopht.1930.00810120081008
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