SAFEGUARDS IN CATARACT EXPRESSION

Abstract

In an effort to safeguard every step in the expression1of cataract after capsulotomy, the routine here described has been developed. This paper deals solely with certain points in operative technic; hence the general preoperative preparation of the patient will not be discussed. LOCAL PREPARATION A culture is made in every case. If the conjunctival sac is clinically clean and there is no evidence of dacryocystitis, little attention is paid to the bacteriologic report. Atropine, 2 per cent, is instilled one hour and also one-half hour before operation. The lids, lashes and ocular adnexa are thoroughly scrubbed with liquid soap. The eye is then flooded with from 10 to 15 drops of a 4 per cent solution of strong silver protein, which is allowed to remain in contact with the conjunctiva for five minutes. A stream of a tepid solution of boric acid (2 per cent) rather forcibly washes