Keratome and scissors.

THE problem of the perfect cataract section and how it should be made is prominent in the minds of ophthalmic surgeons. We are all aware that the success of a lens extraction is substantially dependent upon the accuracy of the section, and there are few of us who cannot recall tragedies or near-tragedies resulting from the improper opening of the eye. With this in mind, and in spite of average proficiency with a Graefe knife, I was prompted to try making the section with keratome and scissors, and having done so in some fifty cases, am convinced that it is the better method. I am well aware that the qudstion of knife or keratome is an old one, and that most established surgeons have by now made up their minds in the matter, but my excuse for this note is that, having had better and more consistent results with the keratome, I felt that others might perhaps be interested in the several reasons which caused me to change my technique.