The Pocket Flap in Cataract Extraction

Abstract

A horizontal incision is made in the conjunctiva five millimeters above the limbus; and the conjunctiva is loosened downward to the limbus and in a pocket on either side so as to expose the upper two fifths of the limbus. A double suture is inserted and the loops laid aside. While making puncture and counterpuncture at the limbus, the conjunctival flap is first grasped on the side corresponding to the puncture, and then on the opposite side. In spite of some increase of difficulty in making the incision, and a tendency for blood to be retained in the anterior chamber, iris or vitreous prolapse is prevented, convalescence is shortened, and in the author's series of cases excellent results have been obtained. Read before the Hennepin County Medical Society, February 6, 1928. A horizontal incision is made in the conjunctiva five millimeters above the limbus; and the conjunctiva is loosened downward to the limbus and in a pocket on either side so as to expose the upper two fifths of the limbus. A double suture is inserted and the loops laid aside. While making puncture and counterpuncture at the limbus, the conjunctival flap is first grasped on the side corresponding to the puncture, and then on the opposite side. In spite of some increase of difficulty in making the incision, and a tendency for blood to be retained in the anterior chamber, iris or vitreous prolapse is prevented, convalescence is shortened, and in the author's series of cases excellent results have been obtained. Read before the Hennepin County Medical Society, February 6, 1928.