Operations for cataract / by R. H. Elliot.

  • Elliot, Robert Henry, 1864-1936.
Date:
[1906]
Catalogue details

Licence: In copyright

Credit: Operations for cataract / by R. H. Elliot. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    to 5 or 16 6 per cent. What now are the figures for vitreou.s escape m Major Smith's operation ? Do tliey support his contention ? Pope, after giving Major Smith's method a good trial, gave it up, on account of the high percentage of vitreous escapes. (/. M. 0 . June 1901.) Major Birdwood liad 47 per cent, in his earlier cases, and 35 per cent, in his later cases, of vitreous escape, whilst performing Major Smith's o|»eration. (/. M. G., June 1906.J Captain J. C. S. Oxley had 30 per cent, of vitreous escape in 40 cases of Smith's operation. Herbert (whose exact percentage of vitreous escapes in the complete operation I cannot ex- actly make out) writes : It is thus evident that the lowest attainable percentage of vitreous accident in ordinary extraction is very distinctly lower than in the 'complete' operation. (/. M. 0., Feb. 1906.) It is to be borne in mind that my figures represent a percentage within a percentage. They do not show my vitreous loss on the 200 cases, which, even with this element thrown in, was only 5 ]>er cent, but on the 30 cases out of that 200, iu which it was found necessary or ad- visable to remove floating fragments of capsule after extraction. It is, however, the series of 30 cases which comes within the arena of this argument. Even so, a comparison of my figures with those of skilled surgeons, such as Major Birdwood or Captain Oxley, appears to support my contention, which was, that, Though this manoeuvre (tlie removal of obvious floating pieces of capsule after extraction of the lens in selected cases) has thus doubled my vitreous loss ; it is to be taken into account that it is a much