Present State of the Intracapsular Cataract Operation

Notes on Ophthalmological Practice in Lund

“…Although I have regularly operated intracapsularly during recent years, I must agree with Ridley (1952), whose boldness cannot be questioned when it comes to trying new surgical methods, when he admits point blank the advantages of the extracapsular methods. On the other hand, I cannot agree with Knapp (1947), when he says at the end of his interesting report on the present status of the intracapsular cataract operation:…”

“…Although I have regularly operated intracapsularly during recent years, I must agree with Ridley (1952), whose boldness cannot be questioned when it comes to trying new surgical methods, when he admits point blank the advantages of the extracapsular methods. On the other hand, I cannot agree with Knapp (1947), when he says at the end of his interesting report on the present status of the intracapsular cataract operation:If you can establish a safe method of intracapsular cataract extraction, you will equal Daviel's contribution to humanity.In my opinion, the intracapsular operation for cataract marks no such revolutionary advance, though I readily admit its advantages when performed by well-trained and experienced surgeons. …”

“…These cases have sometimes been conceived as "panophthalmitis " with a secondary increase -in intra-ocular pressure, but the cause of the clinical picture is still obscure. Knapp (1947) suggested that it was due to mechanical injury. Gifford (1927) suggested a chemical or toxic irritation in certain cases and occlusion of the angle of the chamber by cataract matter when the capsule ruptured.…”

Συμβολη Εις Την Ταυτοχρονον Χειρουργικη Αντιμετωπισιν Του Καταρρακτου Και Του Γλαυκωματος

“…Ό γεροντικός καταρράκτης και τό χρόνιον απλούν γλαύκωμα δυνατόν να εμφανισθούν εκ συμπτώσεως είς τον αυτόν όφθαλμόν είς ποσοστόν ουχί εύκαταφρόνητον. Ούτως ό Knapp (1947) αναφέρει, ότι επί καταρρακτικών οφθαλμών άνευρε χρόνιον άπλοϋν γλαύκωμα είς 2% των περιπτώ σεων του. Ή εκατοστιαία αναλογία αυξάνει εάν άντιστρέψωμεν τάς σχέ σεις των δύο παθήσεων, ήτοι οφθαλμοί θεραπευόμενοι δια χρόνιον απλούν γλαύκωμα εμφανίζουν θολερότητας του φακού, αί όποΐαι εϊτε αποδίδονται είς τό προκεχωρημένον τής ηλικίας των ασθενών εϊτε εις τήν καταρρακτογόνον καρενέργειαν ισχυρών ιδίως μυωτικών κολλυρίων είς ποσοστόν 27-37,4% (Bessiere 1962, Scuderi 1965).…”