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October 1940


Arch Ophthalmol. 1940;24(4):627-644. doi:10.1001/archopht.1940.00870040013001

In a syllabus issued by the American Board of Ophthalmology in 1939, practically a copy of a textbook index, cataract extraction is used for the test in ophthalmic surgery. This operation is the most inclusive procedure in ophthalmology, though not the commonest; factually, the majority of ophthalmologists do no extractions. On pages 4 and 16 of the syllabus, the authors' wisdom shines forth in these headings :

  • Preparation of patient.

  • Anesthesia in detail.

  • Asepsis and antisepsis.

  • Anatomy applied [italics mine].

  • Tissue reaction to surgical injury.

  • Reasons for technic.

  • Avoidance of complication.

  • Handling of complication.

  • Candidate (surgeon) at his ease.

A résumé of these fundamentals with omission of the infinity of detail and argument which in crucial moments distract attention is seriously offered in this paper to the young in years and experience as a definite and trustworthy guide to the preparation for, and the practice and studious mediation of, cataract extraction.

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