Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Management of Retained Lenticular Material by Enzymatic Zonulysis: A Preliminary Report

Management of Retained Lenticular Material by Enzymatic Zonulysis: A Preliminary Report Abstract Unplanned extracapsular cataract extractions resulting in retention of lenticular material present a formidable problem in postoperative management to the ophthalmic surgeon. The incidence of complications in such an eye is significantly greater than an eye from which this residual lens material has been removed. However, it is frequently impossible at the time of initial surgery to extract this residuum without endangering the entire eye. Rarely, this problem of retained lenticular material becomes apparent at the first or second postoperative dressing after an operation which was thought to be an uneventful intracapsular extraction. More commonly, the surgeon is faced with the task of removing loose cortical and capsular material after a traumatic cataract with simultaneous rupture of the capsule. The purpose of this report is to describe how enzymatic zonulysis may facilitate the more complete and safe removal of retained lens material. Since Barraquer's8 initial report, many papers have appeared References 1. Only points pertinent to the use of this enzyme will be discussed. 2. Pevya Laboratories, Barcelona, Spain. 3. Armour Laboratories, Kankakee, Ill. 4. Kirby, D. B.: Advanced Surgery of Cataract , Philadelphia, J. B. Lippincott Company, 1955, pp. 108-112. 5. Haik, G. M.: Symposium of Diseases and Surgery of the Lens , St. Louis, The C. V. Mosby Company, 1957, pp. 136-137. 6. Fasanella, R. M.: Management of Complications in Eye Surgery , Philadelphia, The W. B. Saunders Company, 1957, pp. 181-184. 7. Konstas, K., and Chachamides, D.: Results of the Use of Proteolytic Enzymes in the Operation for Cataract , Arch. Soc. Ophthal. Grece Nord 7:150, 1958. 8. Cogan, J. E. H.: Discussion on Erysiphake Extraction of Cataract: Enzymatic Zonulysis , Proc. Roy. Soc. Med. 51:927, 1958. 9. Moffat, P., and Pierse, D.: Enzymatic Zonulysis , Proc. Roy. Soc. Med. 51:928, 1958. 10. Vail, D.: Enzymatic Zonulysis , Amer. J. Ophthal. 46:235, 1958. 11. Newell, T.: Translation of Barraquer's Enzymatic Zonulysis , Survey Ophthal. 3:299, 1958. 12. Hill, D.: Corneal Vascularization After Cataract Extraction by Zonulysis , Brit. J. Ophthal. 43: 325, 1959.Crossref 13. Rizzuti, A. B.: Alpha Chymotrypsin in Cataract Surgery , A.M.A. Arch. Ophthal. 61:135, 1959.Crossref 14. Cogan, J. E. H.; Simons, H. M., and Gibbs, D.: Intracapsular Cataract Extraction Using Alpha Chymotrypsin , Brit. J. Ophthal. 43:193, 1959.Crossref 15. Ainslie, D.: Cataract Extraction with Aid of Alpha Chymotrypsin , Brit. J. Ophthal. 43:200, 1959.Crossref 16. Salmony, D.: Chymotrypsin and Zonulysis , Brit. J. Ophthal. 43:321, 1959.Crossref 17. Haik, G. M.: Advances in Cataract Surgery , Survey Ophthal. 5:44, 1960. 18. Kara, G. B.: Alpha Chymotrypsin in Cataract Surgery , A.M.A. Arch. Ophthal. 63:122, 1960.Crossref 19. Thorpe, H. E.: Enzymatic Zonulysis , Amer. J. Ophthal. 49:531, 1960. 20. de Barros, E. C.: An Unusual Cataract Extraction , Amer. J. Ophthal. 49:851, 1960. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Management of Retained Lenticular Material by Enzymatic Zonulysis: A Preliminary Report

Archives of Ophthalmology , Volume 66 (4) – Oct 1, 1961

Loading next page...
 
/lp/american-medical-association/management-of-retained-lenticular-material-by-enzymatic-zonulysis-a-Y5FPePkIXo

References (17)

Publisher
American Medical Association
Copyright
Copyright © 1961 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1961.00960010511011
Publisher site
See Article on Publisher Site

Abstract

Abstract Unplanned extracapsular cataract extractions resulting in retention of lenticular material present a formidable problem in postoperative management to the ophthalmic surgeon. The incidence of complications in such an eye is significantly greater than an eye from which this residual lens material has been removed. However, it is frequently impossible at the time of initial surgery to extract this residuum without endangering the entire eye. Rarely, this problem of retained lenticular material becomes apparent at the first or second postoperative dressing after an operation which was thought to be an uneventful intracapsular extraction. More commonly, the surgeon is faced with the task of removing loose cortical and capsular material after a traumatic cataract with simultaneous rupture of the capsule. The purpose of this report is to describe how enzymatic zonulysis may facilitate the more complete and safe removal of retained lens material. Since Barraquer's8 initial report, many papers have appeared References 1. Only points pertinent to the use of this enzyme will be discussed. 2. Pevya Laboratories, Barcelona, Spain. 3. Armour Laboratories, Kankakee, Ill. 4. Kirby, D. B.: Advanced Surgery of Cataract , Philadelphia, J. B. Lippincott Company, 1955, pp. 108-112. 5. Haik, G. M.: Symposium of Diseases and Surgery of the Lens , St. Louis, The C. V. Mosby Company, 1957, pp. 136-137. 6. Fasanella, R. M.: Management of Complications in Eye Surgery , Philadelphia, The W. B. Saunders Company, 1957, pp. 181-184. 7. Konstas, K., and Chachamides, D.: Results of the Use of Proteolytic Enzymes in the Operation for Cataract , Arch. Soc. Ophthal. Grece Nord 7:150, 1958. 8. Cogan, J. E. H.: Discussion on Erysiphake Extraction of Cataract: Enzymatic Zonulysis , Proc. Roy. Soc. Med. 51:927, 1958. 9. Moffat, P., and Pierse, D.: Enzymatic Zonulysis , Proc. Roy. Soc. Med. 51:928, 1958. 10. Vail, D.: Enzymatic Zonulysis , Amer. J. Ophthal. 46:235, 1958. 11. Newell, T.: Translation of Barraquer's Enzymatic Zonulysis , Survey Ophthal. 3:299, 1958. 12. Hill, D.: Corneal Vascularization After Cataract Extraction by Zonulysis , Brit. J. Ophthal. 43: 325, 1959.Crossref 13. Rizzuti, A. B.: Alpha Chymotrypsin in Cataract Surgery , A.M.A. Arch. Ophthal. 61:135, 1959.Crossref 14. Cogan, J. E. H.; Simons, H. M., and Gibbs, D.: Intracapsular Cataract Extraction Using Alpha Chymotrypsin , Brit. J. Ophthal. 43:193, 1959.Crossref 15. Ainslie, D.: Cataract Extraction with Aid of Alpha Chymotrypsin , Brit. J. Ophthal. 43:200, 1959.Crossref 16. Salmony, D.: Chymotrypsin and Zonulysis , Brit. J. Ophthal. 43:321, 1959.Crossref 17. Haik, G. M.: Advances in Cataract Surgery , Survey Ophthal. 5:44, 1960. 18. Kara, G. B.: Alpha Chymotrypsin in Cataract Surgery , A.M.A. Arch. Ophthal. 63:122, 1960.Crossref 19. Thorpe, H. E.: Enzymatic Zonulysis , Amer. J. Ophthal. 49:531, 1960. 20. de Barros, E. C.: An Unusual Cataract Extraction , Amer. J. Ophthal. 49:851, 1960.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Oct 1, 1961

There are no references for this article.