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Unintentional Filtration Following Cataract Surgery

Unintentional Filtration Following Cataract Surgery Abstract Many references concern the complications and sequelae of cataract extraction, but only occasional mention has been made of unplanned filtrations such as those deliberately sought in glaucoma surgery. In fact, in the older literature, there are several reports of large series of cataract extractions with no mention of postoperative filtration. A study made at the University of Oregon Medical School by Cowger and Swan1 in 1957 indicates that differences in operative technique explain this. They compared the postoperative complications in a group of over 500 patients operated prior to 1951 with a similar group of patients operated after 1951 with a different type of incision and wound closure. The technique generally used prior to 1951 was a keratome incision made through the conjunctiva and limbic stroma and enlarged with scissors. The flap of conjunctiva and Tenon's capsule usually was only 1 to 2-mm wide. The incision was closed by References 1. Swan, K. C., and Cowger, R. C.: Midriatic Treatment of Shallow Chamber After Cataract Extraction, correspondence , AMA Arch Ophthal 59:151-152, 1958.Crossref 2. Sugar, H. S., and Deen, C.: Wound Leak Through Suture Sites Following Cataract Extraction , Amer J Ophthal 55:632-635, 1963. 3. Swan, K. C.: Relationship of Basal Iridectomy to Shallow Chamber Following Cataract Extraction , Arch Ophthal 69:191-202, 1963.Crossref 4. Sugar, H. S., and Zekman, T.: Late Infection of Filtering Conjunctival Scars , Amer J Ophthal 46:155-170, 1958. 5. Fitzgerald, J. R., and McCarthy, J. L.: Surgery of the Filtering Bleb , Arch Ophthal 68:453-467, 1962.Crossref 6. Dunnington, J. H., and Weimar, V.: Influence of the Epithelium on the Healing of Corneal Incisions: Part 2 , Amer J Ophthal 45:89-95, 1958. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Unintentional Filtration Following Cataract Surgery

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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1964 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1964.00970010059007
Publisher site
See Article on Publisher Site

Abstract

Abstract Many references concern the complications and sequelae of cataract extraction, but only occasional mention has been made of unplanned filtrations such as those deliberately sought in glaucoma surgery. In fact, in the older literature, there are several reports of large series of cataract extractions with no mention of postoperative filtration. A study made at the University of Oregon Medical School by Cowger and Swan1 in 1957 indicates that differences in operative technique explain this. They compared the postoperative complications in a group of over 500 patients operated prior to 1951 with a similar group of patients operated after 1951 with a different type of incision and wound closure. The technique generally used prior to 1951 was a keratome incision made through the conjunctiva and limbic stroma and enlarged with scissors. The flap of conjunctiva and Tenon's capsule usually was only 1 to 2-mm wide. The incision was closed by References 1. Swan, K. C., and Cowger, R. C.: Midriatic Treatment of Shallow Chamber After Cataract Extraction, correspondence , AMA Arch Ophthal 59:151-152, 1958.Crossref 2. Sugar, H. S., and Deen, C.: Wound Leak Through Suture Sites Following Cataract Extraction , Amer J Ophthal 55:632-635, 1963. 3. Swan, K. C.: Relationship of Basal Iridectomy to Shallow Chamber Following Cataract Extraction , Arch Ophthal 69:191-202, 1963.Crossref 4. Sugar, H. S., and Zekman, T.: Late Infection of Filtering Conjunctival Scars , Amer J Ophthal 46:155-170, 1958. 5. Fitzgerald, J. R., and McCarthy, J. L.: Surgery of the Filtering Bleb , Arch Ophthal 68:453-467, 1962.Crossref 6. Dunnington, J. H., and Weimar, V.: Influence of the Epithelium on the Healing of Corneal Incisions: Part 2 , Amer J Ophthal 45:89-95, 1958.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jan 1, 1964

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