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August 1932


Author Affiliations

San Francisco

Arch Ophthalmol. 1932;8(2):271-272. doi:10.1001/archopht.1932.00820150123015

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Many of the instruments used in ophthalmic surgery were devised to meet emergencies; this is especially true with regard to cataract operations. I know of no operation in surgery in which the need for prompt action is greater than in this one, the difference between success or failure depending on the instant availability of the proper instrument.

Whether the operator uses the capsulotomy or intracapsular method of extraction, impending or actual loss of vitreous is the gravest complication with which he has to deal. If the hyaloid ruptures and vitreous presents itself before the lens engages in the wound, all pressure on the globe, whether voluntary or involuntary, should at once be removed. To meet this emergency it is necessary, therefore, to extract the lens rather than to express it, and numerous instruments have been devised to effect this delivery. Wire loops, either plane or barbed, Reissinger

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