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January 1963

Cataract Surgery, Iridectomy, and Retinal Detachment

Arch Ophthalmol. 1963;69(1):1-2. doi:10.1001/archopht.1963.00960040007001

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In every phase of human activity one's objectives may be accomplished by several different methods. Over a period of time one method may become more popular and acceptable if it is more effective, easier and safer. Often, however, it takes years, or even decades, for evidence to accumulate in favor of one specific method. In cataract surgery there has been a polemic about the relative merit of a full iridectomy versus peripheral iridectomy with round pupil. The ophthalmologist is obliged to look beyond the immediate postoperative period for an evaluation of his surgery.

For many years Chandler has advocated a full sphincter-to-base iridectomy in cataract surgery because he thought it not only made the operation easier to perform, but also the danger of pupillary block and glaucoma was less with a full iridectomy. In addition to this argument in favor of full iridectomies, another less recognized indication is to insure

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