Annual Report of the Government Ophthalmic Hospital, Madras, India, for the Year 1930.

Abstract

During the past year, 3,720 inpatients and 28,470 outpatients were treated. Among more than 3,000 operations, there were 1,676 cataract extractions, of which 1,327 were done with a capsulotomy. In these there were 18 cases of vitreous escape and 15 cases of iris prolapse. The Barraquer procedure was employed in 218 extractions, with vitreous escape in 8 and iris prolapse in 4. The bridge flap was adopted in the majority of cases; it is followed by a denser after-cataract, and the reformation of the anterior chamber is delayed, which Wright associates with adhesions of capsular tags to the corneal endothelium and consequent keratitis. Trephining for glaucoma was done in 117 cases; Lagrange, or its modification, was adopted in 30 cases. There were several cases of trephining in which the central vision was very good, but the fields were reduced to within a few degrees of the fixation point. These