Abstract THE EXTRACTION of a cataractous lens from an eye involved by glaucoma of such severity that surgical control has been required presents many problems to the surgeon. In such cases the patient's future vision rests upon the surgical removal of a cataract from an eye whose metabolism has already been impaired by glaucoma and an antiglaucoma operation. Considerations regarding the simultaneous management of a mature cataract and primary or secondary glaucoma which cannot be controlled medically are outside the province of this paper. In such cases, three locations have been suggested for the corneal section: (1) in the upper limbus, directly through the bleb; (2) through the clear cornea anterior to the bleb, and (3) at the limbus laterally and inferiorly, the incision avoiding the bleb. Each of these locations has been proposed by various ophthalmologists, and the advantages and disadvantages of each method have been described. Buffington1 and References 1. Buffington, W. R.: Etiology and Treatment of Glaucoma Preceding and Following Cataract Extraction , Texas J. Med. 35:700-704, 1939-1940. 2. Judd, J. H., in discussion on Guyton, J. S.: Choice of Operation for Primary Glaucoma Combined with Cataract , Tr. Am. Acad. Ophth. 49:216-224, 1944. 3. Snip, R. T.: Cataract Extraction Following Filtering Operation, Wilmer Residents Association Program, 1949. 4. Kirby, D. B.: Prevention and Handling of Complications Arising During and After Cataract Extractions , Arch. Ophth. 25:866-901 ( (May) ) 1941.Crossref 5. McLean, J.: Cataract Extraction After Glaucoma Operation , Am. J. Ophth. 25:192-193, ( (Feb.) ) 1942. 6. Guyton, J. S.: Choice of Operation for Primary Glaucoma Combined with Cataract , Tr. Am. Acad. Ophth. 49:216-224, 1944. 7. van der Straeten: Bull. Soc. belge opht. 52:29, 1926. 8. Gifford, S. R.: Lens Extraction Following Filtering Operations for Glaucoma , Am. J. Ophth. 26:468-473, 1943. 9. Sternberg, P., and Meyer, S. J.: Corneal Dystrophy Following Secondary Intraocular Operations , A. M. A. Arch. Ophth. 46:527-530 ( (Nov.) ) 1951.Crossref
A.M.A. Archives of Ophthalmology – American Medical Association
Published: Feb 1, 1952
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