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January 1965

Causes of Enucleation Following Cataract Extraction

Author Affiliations

From the Wilmer Ophthalmological Institute, the Johns Hopkins University School of Medicine and Hospital.

Arch Ophthalmol. 1965;73(1):74-79. doi:10.1001/archopht.1965.00970030076015

Introduction  Cataract extraction is the most commonly performed intraocular surgical procedure in ophthalmology. While in the vast majority of instances the postoperative result is good, some failures do occur. Certain of these failures come to enucleation. In some of these cases it may be possible to evaluate the cause of failure from the clinical evidence alone, but in others the causal factors are disclosed only by histopathologic study of the enucleated eye.There are relatively few studies reported in the literature of the causes of enucleation after cataract extraction. Payne and his group1 in 1955 reported on 333 such eyes and recently Blodi2 has studied 317 enucleated specimens. Payne stated that eyes with congenital or traumatic types of cataract were not included in his study. Blodi confined his study to eyes which had had senile cataracts, although he did include a few cases in which the operation had

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