If the external canthus is clamped with a hemostat before the incision is made, annoying bleeding will usually be prevented (Figure).
Removal of Blood from Anterior Chamber
When blood enters the anterior chamber after the section for a cataract extraction, the usual procedure is to wash out as much blood as possible by irrigation and then to remove the clot with smooth capsule forceps.If after irrigation the tip of the irrigator is held next to the clot and the pressure on the bulb is released, creating suction, the clot is sucked partly into the irrigator tip, blocking it, and sufficient suction is created to hold it while it is removed from the anterior chamber.The irrigator preferred consists of a small silver irrigating cannula with Luer hub which is attached to an adapter in a ¼ oz. rubber Acepto bulb.By this method it is not necessary to
ATKINSON WS. Clinical Notes. AMA Arch Ophthalmol. 1959;61(1):145–146. doi:10.1001/archopht.1959.00940090147023
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