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EXACTLY APPOSITIONAL SUTURES IN THE CATARACT OPERATION

EXACTLY APPOSITIONAL SUTURES IN THE CATARACT OPERATION Abstract The operative advantages obtained in modern cataract operations by the use of morphine and scopolamine hydrobromide to remove the nervous worry and concern of the patient and by the use of procaine hydrochloride to interrupt the deep pain reflex through the ciliary ganglion, as well as to control the orbicularis and limit the movements of the eyeball, have without doubt added encouragement to the development of procedures that would have been considered too tedious or painful a decade or so ago. This is particularly true for suturing in the cataract operation, which has been regarded by many of the best surgeons as tedious and unremunerative to the point of disadvantage and even handicap. Yet if it can be demonstrated that proper sutures actually do reduce the accidents and improve end-results, the necessary time and labor will be given to them. A list of some of the difficulties is References 1. Howes, E. L.; Sooy, J. W., and Harvey, S. C.: Healing of Wounds as Determined by Their Tensile Strength , J. A. M. A. 92:42 ( (Jan. 5) ) 1929.Crossref 2. Zur Nedden : Curative Value of Aspiration of Vitreous , Arch. Ophth. 57:109 ( (March) ) 1928. 3. O'Brien, C. S.: Akinesis During Cataract Extraction , Arch. Ophth. 1: 447 ( (April) ) 1929.Crossref 4. Ida Mann considers these "folds" to be really fibers by development and not membranous folds. Yet Helmholtz stated that the zonule was originally called the "godronne" (ionic eggmolding) because of its appearance when the space between these "fibers" and the hyaloid membrane, called the canal of Petit, was inflated. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

EXACTLY APPOSITIONAL SUTURES IN THE CATARACT OPERATION

Archives of Ophthalmology , Volume 4 (4) – Oct 1, 1930

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Publisher
American Medical Association
Copyright
Copyright © 1930 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1930.00810120081008
Publisher site
See Article on Publisher Site

Abstract

Abstract The operative advantages obtained in modern cataract operations by the use of morphine and scopolamine hydrobromide to remove the nervous worry and concern of the patient and by the use of procaine hydrochloride to interrupt the deep pain reflex through the ciliary ganglion, as well as to control the orbicularis and limit the movements of the eyeball, have without doubt added encouragement to the development of procedures that would have been considered too tedious or painful a decade or so ago. This is particularly true for suturing in the cataract operation, which has been regarded by many of the best surgeons as tedious and unremunerative to the point of disadvantage and even handicap. Yet if it can be demonstrated that proper sutures actually do reduce the accidents and improve end-results, the necessary time and labor will be given to them. A list of some of the difficulties is References 1. Howes, E. L.; Sooy, J. W., and Harvey, S. C.: Healing of Wounds as Determined by Their Tensile Strength , J. A. M. A. 92:42 ( (Jan. 5) ) 1929.Crossref 2. Zur Nedden : Curative Value of Aspiration of Vitreous , Arch. Ophth. 57:109 ( (March) ) 1928. 3. O'Brien, C. S.: Akinesis During Cataract Extraction , Arch. Ophth. 1: 447 ( (April) ) 1929.Crossref 4. Ida Mann considers these "folds" to be really fibers by development and not membranous folds. Yet Helmholtz stated that the zonule was originally called the "godronne" (ionic eggmolding) because of its appearance when the space between these "fibers" and the hyaloid membrane, called the canal of Petit, was inflated.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Oct 1, 1930

References