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INTRACAPSULAR CATARACT EXTRACTION: STATISTICAL SURVEY OF FIVE HUNDRED CONSECUTIVE CASES

INTRACAPSULAR CATARACT EXTRACTION: STATISTICAL SURVEY OF FIVE HUNDRED CONSECUTIVE CASES Abstract In this report is submitted a statistical analysis of the records of 500 consecutive cases of intracapsular extraction performed by me and my associates on the staff of the University of Wisconsin General Hospital up to December 1940. I reported 200 of these cases before the American Academy of Ophthalmology and Otolaryngology in 1937.1 The data concerning these two series of intracapsular operations, 200 in the first and 300 in the second, have been combined here in order to present a more comprehensive survey of our results. A full discussion of the operative technic employed, namely, the forceps expression method, together with the preoperative and postoperative care of the patient, was given in the previous paper and will not be repeated here. This report, therefore, will be limited in this respect to such additional information as has been gleaned from experience in the second series of 300 cases. Since References 1. Davis, F. A.: Personal Experiences with Intracapsular Cataract Extractions , Tr. Am. Acad. Ophth. 42:218, 1937 2. Arch. Ophth. 19:867 ( (June) ) 1938.Crossref 3. Gradle, H. G.: Intracapsular Versus Extracapsular Extraction of Cataract , Tr. Sect. Ophth. A. M. A. , 1933, p. 186. 4. Gailey, W. W.: A Report on Two Hundred Cataract Operations , Illinois M. J. 72:528 ( (Dec.) ) 1937. 5. Berens, C., and Bogart, D.: Certain Post-Operative Complications of Cataract Operations , Tr. Sect. Ophth., A. M. A. , 1938, p. 238. 6. Knapp, A.: The Complications of the Forceps Intracapsular Cataract Operation Based on an Analysis of 500 Successive Cases , Tr. Am. Ophth. Soc. 34:162, 1936. 7. Greenwood, A., and Grossman, H. P.: An Analysis of 1,343 Intracapsular Cataract Extractions by Forty-Eight Operators Following the Verhoeff Method , Tr. Am. Ophth. Soc. 33:353, 1935. 8. Bothman, L.: Complications of Cataract Surgery in India , Illinois M. J. 62:243, 1932. 9. Davis, F. A.: Tribromethanol (TribromethylAlcohol, Avertin) as an Anesthetic in Eye Surgery , Tr. Am. Ophth. Soc. 29:47, 1931.Crossref 10. Wright, R. E.: Lectures on Cataract: PosteriorSegment Complications in Post-Operative Period; Some Difficult Extractions , Am. J. Ophth. 20:376 ( (April) ) 1937. 11. Vail, D. T., Jr.: On Hyphema After Cataract Extraction , Tr. Am. Ophth. Soc. 31:496, 1933. 12. Knapp, A.: Intracapsular Operation for Cataract: Report on Fifth Hundred Successive Extractions , Arch. Ophth. 13:823 ( (May) ) 1935.Crossref 13. Kalt: Arch. d'opht. 21:255, 1898 14. Ellett, E. E.: Use of the Suture in Extraction of Cataract , Arch. Ophth. 17:523 ( (March) ) 1937.Crossref 15. McLean, J. M., in discussion on Peter, L. C.: The Stallard Versus Multiple Conjunctival Sutures in Cataract Extraction , Tr. Am. Acad. Ophth. (1940) 45:46 ( (Jan.-Feb.) ) 1941. 16. Stallard, H. B.: A Corneo-Scleral Suture in Cataract Extraction: Its Technique and Advantages , Brit. J. Ophth. 22:269 ( (May) ) 1938.Crossref 17. Verhoeff, F. H.: Corneo-Sclero-Conjunctival Suture in Operations for Cataract , Tr. Am. Ophth. Soc. 25:48, 1927 18. Instrument for Simplifying the Insertion of Corneo-Sclero-Conjunctival Sutures in Operations for Cataracts , Tr. Am. Acad. Ophth. 38: 434, 1933. 19. McLean, J. M.: A New Corneoscleral Suture , Arch. Ophth. 23:554 ( (March) ) 1940.Crossref 20. Since this paper was written and the tables were compiled, a second instance of retinal detachment has been observed in a case of this series. It occurred three and a half years after operation, while the patient was shoveling coal. During the past two years, in an additional 400 intracapsular operations performed since this series of 500 operations was reviewed, 3 additional cases of detachment have been encountered. Two occurred in 1 patient, in the first eye one year and in the second eye three months after operation. No vitreous was lost in either eye, and postoperative healing was prompt, with visual acuity of 20/30, maintained up to the time the detachments occurred. In the third case a detachment, was noted one month after operation. The patient had pernicious anemia and suffered a cerebral vascular accident four months after the operation for cataract, while waiting in the hospital in preparation for an operation for reattachment of the retina. The operation was uncomplicated by either bleeding or loss of vitreous, and healing was prompt. Thus, we have had to date 5 cases of detachment in a series of 900 intracapsular operations, occurring three and a half years, one and a half years, one year, three months and one month respectively after operation. 21. Davis, F. A.: Capsule Forceps for Intracapsular Cataract Extraction , Tr. Am. Ophth. Soc. 34:239, 1936. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

INTRACAPSULAR CATARACT EXTRACTION: STATISTICAL SURVEY OF FIVE HUNDRED CONSECUTIVE CASES

Archives of Ophthalmology , Volume 31 (5) – May 1, 1944

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References (20)

Publisher
American Medical Association
Copyright
Copyright © 1944 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1944.00890050017001
Publisher site
See Article on Publisher Site

Abstract

Abstract In this report is submitted a statistical analysis of the records of 500 consecutive cases of intracapsular extraction performed by me and my associates on the staff of the University of Wisconsin General Hospital up to December 1940. I reported 200 of these cases before the American Academy of Ophthalmology and Otolaryngology in 1937.1 The data concerning these two series of intracapsular operations, 200 in the first and 300 in the second, have been combined here in order to present a more comprehensive survey of our results. A full discussion of the operative technic employed, namely, the forceps expression method, together with the preoperative and postoperative care of the patient, was given in the previous paper and will not be repeated here. This report, therefore, will be limited in this respect to such additional information as has been gleaned from experience in the second series of 300 cases. Since References 1. Davis, F. A.: Personal Experiences with Intracapsular Cataract Extractions , Tr. Am. Acad. Ophth. 42:218, 1937 2. Arch. Ophth. 19:867 ( (June) ) 1938.Crossref 3. Gradle, H. G.: Intracapsular Versus Extracapsular Extraction of Cataract , Tr. Sect. Ophth. A. M. A. , 1933, p. 186. 4. Gailey, W. W.: A Report on Two Hundred Cataract Operations , Illinois M. J. 72:528 ( (Dec.) ) 1937. 5. Berens, C., and Bogart, D.: Certain Post-Operative Complications of Cataract Operations , Tr. Sect. Ophth., A. M. A. , 1938, p. 238. 6. Knapp, A.: The Complications of the Forceps Intracapsular Cataract Operation Based on an Analysis of 500 Successive Cases , Tr. Am. Ophth. Soc. 34:162, 1936. 7. Greenwood, A., and Grossman, H. P.: An Analysis of 1,343 Intracapsular Cataract Extractions by Forty-Eight Operators Following the Verhoeff Method , Tr. Am. Ophth. Soc. 33:353, 1935. 8. Bothman, L.: Complications of Cataract Surgery in India , Illinois M. J. 62:243, 1932. 9. Davis, F. A.: Tribromethanol (TribromethylAlcohol, Avertin) as an Anesthetic in Eye Surgery , Tr. Am. Ophth. Soc. 29:47, 1931.Crossref 10. Wright, R. E.: Lectures on Cataract: PosteriorSegment Complications in Post-Operative Period; Some Difficult Extractions , Am. J. Ophth. 20:376 ( (April) ) 1937. 11. Vail, D. T., Jr.: On Hyphema After Cataract Extraction , Tr. Am. Ophth. Soc. 31:496, 1933. 12. Knapp, A.: Intracapsular Operation for Cataract: Report on Fifth Hundred Successive Extractions , Arch. Ophth. 13:823 ( (May) ) 1935.Crossref 13. Kalt: Arch. d'opht. 21:255, 1898 14. Ellett, E. E.: Use of the Suture in Extraction of Cataract , Arch. Ophth. 17:523 ( (March) ) 1937.Crossref 15. McLean, J. M., in discussion on Peter, L. C.: The Stallard Versus Multiple Conjunctival Sutures in Cataract Extraction , Tr. Am. Acad. Ophth. (1940) 45:46 ( (Jan.-Feb.) ) 1941. 16. Stallard, H. B.: A Corneo-Scleral Suture in Cataract Extraction: Its Technique and Advantages , Brit. J. Ophth. 22:269 ( (May) ) 1938.Crossref 17. Verhoeff, F. H.: Corneo-Sclero-Conjunctival Suture in Operations for Cataract , Tr. Am. Ophth. Soc. 25:48, 1927 18. Instrument for Simplifying the Insertion of Corneo-Sclero-Conjunctival Sutures in Operations for Cataracts , Tr. Am. Acad. Ophth. 38: 434, 1933. 19. McLean, J. M.: A New Corneoscleral Suture , Arch. Ophth. 23:554 ( (March) ) 1940.Crossref 20. Since this paper was written and the tables were compiled, a second instance of retinal detachment has been observed in a case of this series. It occurred three and a half years after operation, while the patient was shoveling coal. During the past two years, in an additional 400 intracapsular operations performed since this series of 500 operations was reviewed, 3 additional cases of detachment have been encountered. Two occurred in 1 patient, in the first eye one year and in the second eye three months after operation. No vitreous was lost in either eye, and postoperative healing was prompt, with visual acuity of 20/30, maintained up to the time the detachments occurred. In the third case a detachment, was noted one month after operation. The patient had pernicious anemia and suffered a cerebral vascular accident four months after the operation for cataract, while waiting in the hospital in preparation for an operation for reattachment of the retina. The operation was uncomplicated by either bleeding or loss of vitreous, and healing was prompt. Thus, we have had to date 5 cases of detachment in a series of 900 intracapsular operations, occurring three and a half years, one and a half years, one year, three months and one month respectively after operation. 21. Davis, F. A.: Capsule Forceps for Intracapsular Cataract Extraction , Tr. Am. Ophth. Soc. 34:239, 1936.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: May 1, 1944

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