Year: 1968
Type: article
Abstract: THIS modification of our earlier one-stage operation for cataract associated with glaucoma (Nagpaul, Charan, and Sarda, 1966) has certain advantages over the previous technique of cataract extraction with iridencleisis (Fig. 1, opposite):(1) The updrawn pupil which was invariably present is almost completely avoided.Hughes (1959) and Hughes, Kazdan, Brackup, and Marinakos (1963) described a sphincterotomy at the 6 o'clock position, incising the iris margin about 2 mm.radially to counteract the updrawn pupil which followed iridencleisis.By this technique, however, there may be too little response to miotics if required postoperatively, and also the lower pupillary margin becomes slightly irregular with a poor cosmetic effect.(2) Miotics can be freely used without impairment of vision.(3) The high incidence of capsular rupture observed in our previous series is avoided because the double sphinctero-iridotomy gives a wider pupil so that lens extraction is easier.(4) The presence of a trachomatous opacity on the upper third of the cornea, which is very common in Rajasthan, does not impair the visual acuity when this technique is used.(5) In cases of microcomea with cataract and glaucoma good results may be obtained.Material and Methods 36 consecutive cases of glaucoma associated with mature or nearly mature cataract were treated.The visual' acuity ranged from counting fingers at 3 m. to good perception of light with doubtful projection.There were some cases of subacute or chronic closed-angle glaucoma with operable cataract, and some of chronic simple glaucoma with associated immature or mature
Source: British Journal of Ophthalmology
DOI: 10.1136/bjo.52.6.486
Authors: R P Sarda, M R Jain, C J Ahluwalia
Institution: SMS Medical College
Language: English
Subfield: Ophthalmology
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2005504476