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April 1938


Arch Ophthalmol. 1938;19(4):583-584. doi:10.1001/archopht.1938.00850160109006

In performing iridencleisis I have found some difficulty in reversing the tongue of iris after the meridional incision has been made. Because of this, undue manipulation of the iris is necessitated, with an attendant loss of pigment. Since it is most important for the success of this operation to obtain a pigment-lined cicatrix in the scleral section, all possible means for preventing loss of pigment must be utilized.

The following procedure is a simple modification of the Holth technic, which minizes the manipulation of the iris and conserves the epithelium : After the iris is grasped at the pupillary border and drawn out of the wound, two meridional cuts are made, one on either side of the forceps. The resulting oblong flap of iris can then easily be laid out on the sclera like an apron, pigmented surface up, with a modicum of manipulation. The advantages of this simple modification

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