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August 1950

INCISION AND CLOSURE OF THE WOUND IN CATARACT OPERATIONS: A Study of the Graefe Knife Versus the Keratome-Scissors Incision and a Method of Suture of the Deep Wound

Author Affiliations

From the Department of Ophthalmology, University of Wisconsin Medical School.

Arch Ophthalmol. 1950;44(2):175-197. doi:10.1001/archopht.1950.00910020180001

THE INCISION for cataract extraction has been a controversial subject since the immortal Daviel1 first introduced his method of extraction, some two hundred years ago. It is generally conceded to be the most important step of the operation, and a successful outcome depends in large measure on the size, position and character of the initial opening and the skill with which it is made. In reviewing the history of the cataract operation one finds that innumerable methods of incision have been devised over the years in an effort to simplify and perfect the technic. In recent years new procedures have been introduced and older methods, long forgotten, have been revived by a new generation of ophthalmic surgeons. I have been interested in following these trends and have undertaken a study of some of them.

HISTORICAL REVIEW  Daviel's original incision was made in the cornea from below, just inside the

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