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December 1948


Author Affiliations


Arch Ophthalmol. 1948;40(6):680-684. doi:10.1001/archopht.1948.00900030695008

THE SUBJECT of congenital cataract is given relatively little space in textbooks of today. The traditional treatment of needling or discission, often repeated, is generally employed. Needling is open to many serious objections, such as the danger of chemical irritation and secondary glaucoma, which not uncommonly necessitates further operation on a highly inflamed eye. Other objections are protracted convalescence; the frequent necessity of repeated discission in order that resorption may be complete, and delayed restoration of vision in young subjects, with resultant amblyopia. Retinal detachment not uncommonly occurs in adult years as a result of repeated discission in early childhood. Ziegler recommended the through and through incision, hoping to prevent secondary glaucoma. According to Spaeth,1 a through and through incision of the lens into the vitreous is not a guarantee against the development of secondary glaucoma; instead, damage may occur to the vitreous, with later development of iridocyclitis of

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