Abstract Subconjunctival extraction of the lens was advocated and practiced during the nineteenth century. Apparently the first references were by Alexander in 1825, Desmarres in 1851, von Hasner in 1873 and Pansier and Vacker in 1899. Czermak1 later recommended the use of the vertical conjunctival slit in cases in which loss of vitreous is threatened, either during extraction of cataract, owing to dementia, excitement, dislocation of the lens into the anterior chamber or overripening, or after the operation, because of gaping of the wound due to great restlessness, violent paroxysm of coughing, etc. Dimmer2 in 1907 modified Czermak's operation and Cluckie3 in 1909 described a subconjunctival method of extraction similar to that described by Haab.4 In 1910 Bajardi5 advocated a procedure essentially similar to that of Cluckie. My method differs from the methods of Czermak, Dimmer, Cluckie and Bajardi in that a vertical incision References 1. Czermak: Ueber subkonjunctivale Extraktion , Ber. ü. d. Versamml. d. ophth. Gesellsch. , 1903, p. 115 2. Subkonjunctivale Extraktion mit Bindehauttasche , Klin. Monatsbl. f. Augenh. 41:497 ( (Aug.) ) 1903. 3. Dimmer, F.: Eine subkonjunctivale Methode der Starextraktion , Ber. ü. d. Versamml. d. ophth. Gesellsch. 34:218, 1907. 4. Cluckie, N. G.: A Corneo-Conjunctival Bridge: A New Method of Cataract Extraction , Lancet 2:1073, 1909.Crossref 5. Haab, O.: Atlas and Epitome of Operative Ophthalmology , translated by G. E. de Schweinitz, Philadelphia, W. B. Saunders Co., 1905, p. 158. 6. Bajardi, P.: Sulla estrazione sottocongiuntivale della cataratta , Boll. d. r. Accad. med. di Genova 25:32, 1910. 7. Bell, G. H.: A New Method of Preventing Post-Operative Intraocular Infection , Arch. Ophth. 52:436, 1923. 8. O'Brien, C. S.: Local Anesthesia , Arch. Ophth. 12:240 ( (Aug.) ) 1934.Crossref 9. Van Lint: Ann. d'ocul. 151:420, 1914 10. Arch, d'opht. 43:714, 1926. 11. These scissors should have one blunt-pointed blade. This is the blade which enters the chamber.
Archives of Ophthalmology – American Medical Association
Published: Oct 1, 1936
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