A further note on irrigation in cataract extraction / by R. H. Elliot.

  • Robert Elliot
Date:
[1906]
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Licence: In copyright

Credit: A further note on irrigation in cataract extraction / by R. H. Elliot. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    pressure reduces tlie risks of delivery to a mini- inuin. It is a most fascinating manoeuvre to watch or to perform. Peripheral Iridectomy. A free trial was given to partial iridectomy. Instead of making the usual complete section of the iris, one seized only tlie peripheral edge with the forceps, withdrew it from the chamber, and cut out the peripheral portion of the mem- brane, leaving the pupillary ring with the sphincter intact. The cases did well, and in those one was able to follow, the result was satisfac- tory; a very active pupil was left, while the main' advantage of iridectomy was attained, inasmuch as a free sluice gate was provided for the escape of out-rushes of aqueous fluid, on any rupture of the section. There proved, how- ever, to be disadvantages, which for busy Indian practice at least more than counterbalanced the advantages. It was much more difficult to wash the chamber clear, and this lavage took much longer than with a complete iridectomy. Moreover, the pupillary bridge of iris prevented the easy escape of the lens, and was sometimes broken during expulsion. I have dropped this manoeuvre in consequence. 1 liave already emphasised the advantages of irrigation in enabling us to deal with a falling in of the cornea on the one hand and with the pre- sence of troublesome air-bubbles in the anterior chamber on the other, and I need not further dilate on the subject The advantages are too obvious to any one who has had any experience of cataract extraction. (Yide I. M. 0., April, 1903,.)
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