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April 1965

The Sliding Method of Intracapsular Lens Extraction: A Suggested Technique to Avoid Postoperative Complications

Author Affiliations

New York
From the Department of Ophthalmology, New York Medical College, and The Corneal Clinic of Manhattan Eye, Ear, and Throat Hospital.

Arch Ophthalmol. 1965;73(4):466-471. doi:10.1001/archopht.1965.00970030468004

Intracapsular cataract extraction has become a routine procedure. In competent hands the incidence of operative complications has decreased to a level comparable with other standard surgical procedures on the human body. This state of affairs now allows the ophthalmologist to concentrate his efforts to a greater degree in an attempt to eliminate the late postoperative complications. One of these is persistent corneal edema.

Authorities1-4 agree that sliding is the preferred method of cataract delivery where obvious cornea guttata exists or if an eye has had a previous penetrating keratoplasty. Agreement lies in the accepted belief that minimal corneal manipulation and anterior chamber instrumentation is important in preventing endothelial damage.5-7 The authors are in full accord with this. Because of a specific interest in corneal diseases, we have frequently seen patients with persistent corneal edema following cataract extraction. Many of these eyes apparently had minimal or unrecognized cornea guttata

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