The capsule sometimes ruptures in the socalled intracapsular operation for cataract, no matter what method is employed. If the broken capsule recedes into the eye most operators make no attempt to remove it, the operation becoming an unintentional extracapsular extraction. If the cataract is immature, as it usually is, a considerable amount of lens matter also remains in the eye in spite of irrigation, and there often result posterior synechias in addition to secondary cataract. Frequently discission is later necessary before satisfactory vision is obtained, and sometimes iridotomy is required. In some cases the retained lens matter causes phacoanaphylactic endophthalmitis. For these reasons I have usually endeavored at the original operation to remove the ruptured capsule with its enclosed lens matter. In 1927 I described methods1 for doing this, but I am not aware that any one else has even discussed the problem.
With the method of intracapsular extraction