Iridectomy or no in Cataract Extraction

Cataract Extraction without Iridectomy.

IN cataract surgery iridectomy or iridotomy has been done as a general rule since 1864, when von Mooren first introduced it (Bellows, 1944). Different types of iridectomies have been advocated by various surgeons. Chandler in 1890 suggested a pin-hole peripheral iridectomy (Knapp, 1947), and Harrington (1949) also concluded that peripheral iridectomy was better than a complete iridectomy. Kirby...

Bilateral cataract: extraction in classic haemophilia with retrobulbar anaesthesia and peripheral iridectomy.

A 47-year-old factor VIII deficient haemophiliac successfully underwent bilateral cataract extraction. The use of cryoprecipitates to achieve haemostasis permitted retrobulbar anaesthesia and a peripheral iridectomy without complication. We consider that the use of cryoprecipitated factor VIII concentrate allows safe elective ocular surgery in patients with classic haemophilia.

Irrigation in Cataract Extraction

This occupies only the introductory chapter, 17 pages of the book; the rest of the book, about 100 pages, describes in a detailed way the cataract operation done by him, the instruments employed and their sterilisation, the preparation of the patient, the actual steps of the operation, and in this, the all-important question of the section and how to make it are well dealt with. The author advo...

Miotics or mydriatics for atony of the ciliary muscle with delayed re-formation of anterior chamber after cataract extraction with complete iridectomy.

Conjunctival Bridge in Cataract Extraction.

THE very definite advantages of leaving a conjunctival bridge in ordinary cataract extraction 'are counterbalanced by certain disadvantages. It is not so easy to do an iridectomy, should that be necessary, and sometimes the delivery of the lens is so much impeded that the bridge has to be cut through. By a very slight modification in the direction of the bridge, both these difficulties are over...