Bilateral cataract: extraction in classic haemophilia with retrobulbar anaesthesia and peripheral iridectomy.

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Bilateral cataract: extraction in classic haemophilia with retrobulbar anaesthesia and peripheral iridectomy.

A 47-year-old factor VIII deficient haemophiliac successfully underwent bilateral cataract extraction. The use of cryoprecipitates to achieve haemostasis permitted retrobulbar anaesthesia and a peripheral iridectomy without complication. We consider that the use of cryoprecipitated factor VIII concentrate allows safe elective ocular surgery in patients with classic haemophilia.

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Cataract Extraction without Iridectomy.

IN cataract surgery iridectomy or iridotomy has been done as a general rule since 1864, when von Mooren first introduced it (Bellows, 1944). Different types of iridectomies have been advocated by various surgeons. Chandler in 1890 suggested a pin-hole peripheral iridectomy (Knapp, 1947), and Harrington (1949) also concluded that peripheral iridectomy was better than a complete iridectomy. Kirby...

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Extracapsular cataract extraction under local anaesthesia without retrobulbar injection.

Day-case cataract surgery and the need for local anaesthesia are likely to increase. Retrobulbar (and peribulbar) anaesthetic injection is a common technique in cataract surgery, but serious complications are persistently reported. Subconjunctival injection is an alternative that avoids these risks. This retrospective study compares two groups of patients that underwent extracapsular cataract s...

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Cataract extraction without retrobulbar anaesthetic injection.

Extracapsular cataract extraction with lens implant under local anaesthesia consisting of amethocaine drops followed by a simple subconjunctival injection in the upper part of the globe but without a retrobulbar injection was carried out in 175 eyes of 165 patients. The purpose of the study was to establish the feasibility of this type of anaesthesia in cataract surgery with the principal objec...

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Cataract extraction under general anaesthesia.

IT seemed worthwhile confirming the work of Cridland (1955) who recorded a series of cataract extractions under general anaesthesia at a time when this method was used only by a minority. General anaesthesia for all ophthalmic surgery has come to stay. It would not be right to be dogmatic as more work needs to be done but, provided the patient is in satisfactory health, it merits serious consid...

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ژورنال

عنوان ژورنال: British Journal of Ophthalmology

سال: 1977

ISSN: 0007-1161

DOI: 10.1136/bjo.61.12.765