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September 1964

Iridectomy and Hemostasis Facilitated by Suction

Arch Ophthalmol. 1964;72(3):343-345. doi:10.1001/archopht.1964.00970020343011

Ophthalmic surgeons are generally in accord that thorough wound hemostasis is a most valuable adjunct to successful iridectomies. The Hildreth cautery is used as needed in conjunction with use of the polyethylene catheter suction. (See Fig 1.) The advantageous use of a suction catheter facilitates iridectomies up through a trephine or keratome opening and effects wound hemostasis, avoiding use of cotton or sponge material which may result in remnants being left in the eyes. (See Fig 2.)

I recommend the use of two types of polyethylene tubing, one with outside diameter of 0.38 in,* which can be used to draw up the iris from its operative bed, so that it can be grasped by conventional iris forceps and the iridectomy completed without endangering the anterior lens capsule. The second type of polyethylene tubing has an outside diameter of.050 in † and can be used by either the surgeon or his

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