IN CATARACT extraction complications that formerly occurred at the time of operation have been reduced to a minimum by better anesthesia and improved operative technic. Attention is now directed more toward the prevention of postoperative complications.
The principal aims of the corneal section to be described are to prevent a leaky wound, with a shallow or empty anterior chamber, and to decrease the occurrence of postoperative hemorrhage into the anterior chamber.
Two features of the section designed to accomplish these aims are (1) a long bevel and (2) placement in avascular corneal tissue.
Firm suturing of the wound has practically eliminated prolapse of the iris, but the closure of the wound is often not sufficiently perfect to prevent a slow leak of aqueous or to prevent blood from entering the anterior chamber. It is generally conceded that to be effective sutures must be placed in firm cornel or corneoscleral tissue
WALTER S. ATKINSON. CORNEAL SECTION WITH LONG BEVEL AND CONJUNCTIVAL FLAP FOR CATARACT EXTRACTIONPreliminary Report. Arch Ophthalmol. 1946;35(4):335–345. doi:10.1001/archopht.1946.00890200342001