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November 1930


Author Affiliations

Beverly, Mass.

Arch Ophthalmol. 1930;4(5):727-728. doi:10.1001/archopht.1930.00810130117010

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To the Editor.—One meets with diversity of opinion here, as elsewhere. In the Lindner Clinic the trephine and often cyclodialysis are resorted to in the treatment for glaucoma, whereas in the Meller Clinic iridotasis or iridencleisis is the favorite procedure.

All cataracts, with the exception of the hypermature forms, are removed intracapsularly, modifications of the Kalt forceps being employed. Peripheral iridectomy is performed in every case and always after delivery of the lens. The wound is stitched tightly with three conjunctival sutures, and the patient is allowed to walk back to the ward and remain up. Complications are rare. Blocking of the orbicularis muscle is practiced in the Meller Clinic. Retrobulbar injections are not employed for cataract operations in either clinic, whereas in Professor Meessmann's Clinic in Berlin it is employed in every case.

Bloodletting is practiced immediately before operation in patients with glaucoma and high blood pressure.

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