Intracapsular extraction with preservation of the round pupil is subject to the complications that occur with most cataract operations. Some of these complications are less frequent and less severe ; but involvement of the vitreous and iris takes on added significance, and it is the frequency or infrequency of this involvement that determines the success or failure of this procedure.
The best defense against the more troublesome complications peculiar to this operation is well placed sutures which insure adequate closure of the incision. In my experience, corneal sutures are more easily placed before opening the globe.
I have used a simple form of mattress, or section halter, suture for the past ten years which I have found very effectual, and I shall describe it briefly.
Prior to section, the globe is fixed with the globe fixation forceps, and a 24 inch (1.56 cm.) silk suture double-armed with Kalt needles is inserted
BRACKEN F. COMPLICATIONS INCIDENT TO SIMPLE INTRACAPSULAR EXTRACTIONSOME PROCEDURES DESIGNED TOWARD PREVENTION. Arch Ophthalmol. 1945;34(5):427–430. doi:10.1001/archopht.1945.00890190431017
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