Involuntary Iridectomy

نویسنده

  • A. Powell
چکیده

Sir,?I must plead guilty to having performed many iridectomies unintentionally, and at the same time point out the cause of this little accident in most of my cases. This was a "bellying" of the blade of the Grafe's knife. If instead of the knife being, except at the point, of equal thickness and width there be a " belly " or greater width in the forepart of the blade, leaving the part near the handle thinner or narrower, this narrow part is insufficient to completely till the opening made by the wider part; the aqueous flows out and allows the iris to come in the way of the blade. If the knife be blunt, the aqueous is more certain to escape prematurely. Some years ago when far from any instrument maker I found myself without a decently sharp knife except one with a curved cutting edge. In almost every operation I did with this knife I cut the pupillary edge of the iris.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Involuntary Iridectomy

Sir,?As Captain Duer suggests i" the Indian Medical Gazette, October 1901, it would interest us much to hear more from our experienced operators of the cause of this accident of involuntary iridectomy. I have often wondered why more has not been said about it. When it has happened to me I have always put it down to want of skill. Perhaps it has been so. I do not believe that it is always due to...

متن کامل

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...

متن کامل

Pigment vacuum iridectomy for phakic refractive lens implantation.

I present a technique designed to ensure an atraumatic patent basal iridectomy for phakic refractive lens implantation. The technique divides the iridectomy procedure into 2 steps. First, the stromal layer is removed by surgical excision. Then, the pigment layer is removed by gentle vacuum aspiration with a 25 gauge cannula. Atraumatic, small, basal peripheral iridectomies that are functional a...

متن کامل

Management of acute primary angle-closure glaucoma: a long-term follow-up of the results of peripheral iridectomy used as an initial procedure.

For the past 12 years peripheral iridectomy has been used as the initial surgical procedure after an acute attack of angle-closure glaucoma. The operation has been performed 2 to 5 days after the pressure has been controlled medically and has been followed routinely by prophylactic peripheral iridectomy in the fellow eye. Peripheral iridectomy for primary acute angle-closure glaucoma controlled...

متن کامل

Peripheral iridectomy in angle-closure glaucoma: a common complication.

ALTHOUGH prophylactic peripheral iridectomy is probably one of the most satisfactory operations in the whole of surgery if carefully performed on carefully selected cases, we have the clinical impression that posterior synechiae in the part of the pupil related to the iridectomy can be a common complication. Posterior synechiae following peripheral iridectomy were mentioned by Lowe (1962). The ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 37  شماره 

صفحات  -

تاریخ انتشار 2016