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June 1976

Phacoemulsification and Aspiration: The Kelman Technique of Cataract Removal

Arch Ophthalmol. 1976;94(6):1053. doi:10.1001/archopht.1976.03910030541021

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One of the most fascinating developments in the history of cataract surgery is the Kelman technique of reducing a cataract to minute particles by ultrasonic vibration and asplrating them by controlled suction. The verdict of history is yet to be passed on this technique, but the ingenuity and inventiveness of its author are unquestioned. This book explains his surgical philosophy, describes his earlier failures, and provides detailed, illustrated descriptions of the various steps, maneuvers, and pitfalls in the technique.

The book's format is convenient, the illustrations are excellent, and, apart from some quaint expressions, the language and style are above reproach.

One point of substance seems doubtful. On page 107, it is stated that "Touching and even pulling on the iris with the irrigation-aspiration tip has no consequence." This may or may not be true for the anterior surface of the iris, but pulling with the aspiration tip on the

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