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June 1958

Selection of Procedure for Cataract Extraction

Author Affiliations

Watertown, N. Y.

AMA Arch Ophthalmol. 1958;59(6):811-817. doi:10.1001/archopht.1958.00940070025001

The procedures to be discussed are for the extraction of senile cataracts.

A detailed history, thorough examination of the eyes, general physical examination, careful preoperative preparation, and good anesthesia and akinesia, so that the lids and eye are immobile with marked hypotony, will make any type of operative procedure for the removal of a cataract safer. With a soft eye the removal of cortical matter takes longer, but the hypotony makes both the extracapsular and intracapsular extractions safer and reduces the incidence of vitreous loss to practically zero. In order to be sure that the intraocular tension is low it is advisable to check the tension with a tonometer before making the section. Surgeons who insist upon these operative measures rarely have operative accidents.

In regard to the method of making the section, all ophthalmologists are familiar with the difficulties and hazards of a full Graefe section. These difficulties and

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