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May 1947

CORNEOSCLERAL SUTURE IN OPERATIONS FOR CATARACT: With Special Reference to the Incidence of Postoperative Hyphemia

Author Affiliations

From the Department of Ophthalmology, University Hospitals.

Arch Ophthalmol. 1947;37(5):591-597. doi:10.1001/archopht.1947.00890220608005

THE use of sutures for closure of incisions in cataract operations is one of the most useful and valuable refinements in ophthalmic surgery. First described by Williams1 in 1860, it has become increasingly popular, until at present some type of suture is used in cataract operations in practically every large clinic in this country. Together with the routine use of akinesia and retrobulbar injections, the average ophthalmic surgeon has been able to obtain a greater percentage of successful results in cataract extractions than is otherwise possible.

A review of the literature on this subject shows that most authors are in agreement that sutures (1) promote prompt healing of the wound in most instances; (2) reduce the incidence of prolapse of the iris; (3) reduce postoperative glaucoma by permitting rapid reformation of the anterior chamber; (4) discourage epithelial ingrowth into the anterior chamber; (5) permit rapid closure of the wound,