REPORT OF ONE HUNDRED AND EIGHTEEN CATA- 
RACT EXTRACTIONS ; WITH REMARKS 
BY 
DAVID WEBSTER, M.D., NEW YORK 
Reprinted from Manhattan Eye and Ear Hospital Reports, Jan., 1895 REPORT OE ONE HUNDRED AND EIGHTEEN CATA- 
RACT EXTRACTIONS ; WITH REMARKS. 
DAVID WEBSTER, M.D., NEW YORK. 
{PRESENT herewith tabulated statistics of one hundred and 
eighteen cataract extractions, of which one hundred and 
thirteen were simple and the remaining five combined with 
iridectomy. These cases are consecutive, and include all un- 
complicated senile cataracts operated upon by me in hospitals 
and in private practice since the publication of my last series 
of cataract extractions in the Transactions of the American 
Ophthalmological Society, vol. vi., part i. 
I greatly prefer the simple extraction in all ordinary cases of 
senile cataract. In my experience it is a less difficult operation 
to perform than the combined. The traumatism involved in 
the bruising of the iris during the extrusion of the lens seems 
to be less than that necessarily inflicted in excision of a por- 
tion of the iris. Moreover, the bleeding from the severed 
blood-vessels of the iris very frequently floods the pupil, ob- 
scures the lens, and renders the remaining steps of the opera- 
tion more difficult. We are unable to see the anterior capsule 
while incising or lacerating it with the cystitome, and after we 
have removed the lens, we are left in doubt as to whether we 
have left any considerable amount of cortical matter behind. 
We are also absolutely sure that the eye thus operated upon 
cannot recover with that ideal result-a central, circular, 
movable pupil. 
Nevertheless, there are certain conditions that seem to de- 
mand the combined operation as the one less likely to result 
in failure. 
I prefer and follow the combined method : 
i. In cases in which there is an evident predisposition to 
glaucoma, as when the fellow eye has already become blind 
with that disease. 
Reprinted from Manhattan Eye and Ear Hospital Reports, Jan., 1895 22 
WEBSTER. 
2. In cases in which the patient possesses little or no self- 
control, so that not only is the operator greatly embarrassed 
during the operation by the failure of the patient to follow his 
directions, but subsequent prolapse of the iris is rendered 
probable by the unrestrained movements and manipulations 
of the patient. 
3. In cases in which prolapse of the iris has occurred during 
convalescence from a simple extraction on the fellow eye, thus 
showing that the conditions favoring the occurrence of a pro- 
lapse are present in the eye to be operated upon. 
4. In cases in which, after the simple extraction has been 
completed, it is found to be impossible to so replace the iris 
that the pupil is central and circular. 
5. In those cases in which the pupil does not dilate to co- 
caine. Extrusion of the lens through a small pupil with an 
unyielding sphincter involves too much pressure for the good 
of the eye. 
Immediately before being used for any operation upon the 
eye, the instruments are rendered aseptic by immersion in boil- 
ing water. The eyelids are carefully washed, inside and out, 
with a solution of bichloride of mercury, 1 to 5000. I gener- 
ally wash all the contiguous parts with the same solution. I 
avoid using the bichloride solution after the anterior chamber 
has been opened, but cleanse the eye during the succeeding 
steps of the operation with a saturated solution of boric acid. 
We use both solutions warm at the Manhattan. 
All my simple extractions were done under cocaine. I use 
a 4 $ or a 6 $ solution. Some of this is dropped into the 
eye at intervals of three or four minutes for three or four 
times. I prefer to wait until the pupil is about half dilated 
before commencing the operation. This generally occupies 
about twenty minutes after the first instillation of cocaine. I 
think it requires less pressure to extrude the lens than it does 
through an undilated pupil. On the other hand, if we wait 
until there is wide dilatation of the pupil, there is more danger 
of the iris falling before the knife and being cut in completing 
the section, thus defeating our object of making it a simple ex- 
traction. I always make the incision upward. I try to place CATARACT EXTRACTIONS. 
23 
the entire cut in the limbus, and to make it include a little less 
than half the circumference of the cornea. I always stand 
behind the patient, holding the knife in my right hand in oper- 
ating upon the right eye, and in my left hand in operating 
upon the left eye. The eye being held open by a spring specu- 
lum, I seize a broad fold of conjunctiva close to the lower 
border of the cornea, in the vertical meridian, with the fixation 
forceps, so as to have the eyeball under control. Having made 
the " puncture," which is always easy to place just where we 
want it, I carry the knife slowly across the anterior chamber, 
and as soon as its point becomes obscured behind the semi- 
opaque limbus, I depress the handle a little and proceed to 
make the " counter-puncture." By this manoeuvre the accident 
of making the counter-puncture too far back in the sclera may 
generally be avoided. As soon as the point of the knife 
emerges on the other side, I make a deliberately rapid thrust 
so as to carry the edge of the knife above the border of the 
pupil before the aqueous humor escapes, and thus I avoid cut- 
ting the iris. I watch the point of my knife and make sure 
that it does not prick the skin at the inner canthus. Should 
such an accident be awkwardly permitted to occur, the patient 
is apt to start, and the success of the operation is imperilled. 
Having safely landed the edge of the knife beyond the pupil- 
lary border, the remainder of the cut may be made less rapidly. 
Not more than two or three backward and forward movements 
of the knife should be necessary to finish the section, if the 
instrument be sharp. The use of a dull knife in making the 
section cannot be too much deprecated. It involves a discour- 
aging amount of sawing and inflicts an unnecessary amount of 
traumatism. In completing the section, I like to make the 
slightest possible conjunctival flap. If the edge of the knife 
has to be turned forward to avoid cutting the iris, the section 
will be completed in clear cornea, and healing will probably be 
retarded by a grooving or furrowing of the wound. The next 
step is to open the anterior capsule of the lens. In many of 
my cases I endeavored to incise the capsule behind the upper 
portion of the iris, as done by Dr. Knapp of this city. When 
successful in this, I thought there was less tendency to adhe- 24 
WEBSTER. 
sion of the bruised pupillary border of the iris to the capsule 
during recovery, without evidences of iritis. But in my hands 
there were two objections to the method. Sometimes after in- 
cising the capsule in this way and then attempting to remove 
the lens, I found that I had not opened the capsule sufficiently 
and had to repeat the manoeuvre, and once or twice I lost 
vireous apparently from having opened the capsule too near 
the suspensory ligament of the lens. I now open the capsule 
by several irregular incisions in the pupillary area, probably 
tearing rather than cutting it. I believe that a pretty thorough 
laceration of the capsule favors the easy exit of the cataract. 
Having opened the capsule, I immediately remove the fixation 
forceps and proceed to extrude the lens through the wound by 
means of pressure and counter-pressure with spoons. For pres- 
sure upon the cornea I use the hard rubber or tortoise-shell 
spoon ; for counter-pressure on the scleral lip-of the wound, I 
use the metallic spoon. With the latter very little pressure is 
made, sometimes none at all. Sometimes I have had to aid the 
delivery of a sticky lens from an inelastic eye by coaxing it out 
with a cystitome. The pressure upon the cornea with the tor- 
toise-shell spoon should always be made intelligently. The pres- 
sure should be made upon the lens near its lower border, and 
should be so directed as to tilt the upper border forward and 
engage it in the wound. During its exit the lens should be 
followed by a steady, unintermitting pressure. The pressure 
should be lessened a little just before the cataract makes its 
final exit; otherwise vitreous humor may follow. I tried press- 
ing out the lens by means of the eyelids. 1 finally abandoned it 
as an unsafe procedure. It is often quite impossible to make 
pressure with the lower lid at exactly the point where you want 
to, simply because you cannot get the patient to look in the right 
direction. If he looks up a little too far, you make your pres- 
sure on the sclera, or too near the lower border of the cornea, 
and run the risk of losing vitreous. 
As soon as the lens is out of the eye I remove the speculum. 
If any cortical matter remains, I endeavor to work it out with 
the eyelids. What I cannot get out in that way 1 leave behind. 
I am under the impression that the cases in which I have CATARACT EXTRACTIONS. 
25 
washed out the anterior chamber with a warm solution of boric 
acid have not done as well as they would had I let them 
alone. 
I have been greatly aided in determining the presence or 
absence of cortical matter by the electric light concentrated 
upon the pupil by a strong convex lens. I have in at least 
one case removed a thickened and degenerated anterior cap- 
sule with iris forceps immediately after the extraction of the 
lens. The result was excellent. The pupillary space being 
clear, the next thing is to see that no iris, or other material, is 
left in the wound. In most cases the iris resumes its normal 
position spontaneously. When it does not, a little manipula- 
tion of the upper lid, or a little stroking of the wound with a 
cataract spoon will generally be sufficient. In some cases the 
iris repositor has to be introduced through the wound to push 
the iris back into its place. When it is found to be impossible 
to replace the iris so that the pupil is central and circular, it is 
better to perform an iridectomy at once, and so avoid a prob- 
able prolapse of the iris. Any shreds of coagulated blood may 
be removed from between the lips of the wound by means of 
the iris forceps. I generally run. a small probe or spatula along 
the whole length of the wound in order to make sure that 
nothing is left in it. The lips of the wound should be left in 
complete coaptation. 
Before dressing the eye, I usually instil a drop of solution 
of sulphate of eserine, gr. | to i. I am inclined to think it 
makes very little difference, however, whether eserine or atro- 
pine, or a io % solution of cocaine, or nothing at all, is dropped 
into the eye after the operation and before applying the 
dressing. 
I first smear the edges of the closed lids with bichloride- 
vaseline, i to 5000. Next I apply a bit of gauze to keep the 
fibres of cotton from getting between the eyelids, then a prop- 
erly shaped mass of absorbent cotton, a thin flannel bandage, 
and over all, Ring's ocular mask. The patient is put to bed, 
and generally prefers to remain there till the morning of the 
second day, when the bandage is removed and the eye inspected 
for the first time. During the first few days the patient should 26 
WEBSTER. 
be fed on soft and easily digested food. His bowels should be 
kept open, a gentle laxative being administered if necessary. 
He should be cautioned not to lie on the side of the eye op- 
erated upon. He may sit up as much as he wants to from the 
first; but always should move carefully with the aid of an 
assistant. He should always be kept in a moderately light 
room. 
If the recovery is smooth, no treatment is necessary but to 
protect the eye from injury and from a bright light, and to keep 
it clean. If there is considerable redness, showing a tendency 
to iritis, atropine, i % solution, should be dropped into the eye 
sufficiently often to keep the pupil dilated. If incarceration of 
the iris occurs, no interference is necessary. If prolapse of the 
iris takes place, the prolapsed portion should be excised at the 
earliest opportunity. If, in spite of antiseptic precautions, 
suppuration appears in the line of the wound, the latter should 
be thoroughly seared with the actual cautery throughout its 
entire length without delay. . Of course, iced cloths, hot 
fomentations, atropine, leeches, and other antiphlogistic meas- 
ures will have to be resorted to in those exceptional cases that 
" are bound to go to the bad " in spite of everything. Some- 
times we are humiliated by being compelled to enucleate the eye 
in order to save the patient from a long period of suffering, 
and to render more safe the removal of the cataract from his 
other eye. 
Although in the tabulated statistics I have separated the five 
11 combined " extractions into a separate group, yet as the 
number is so small, I have thought it best to include the whole 
number operated upon (118) in the following statement of sex, 
age, results, etc. 
There were 53 males and 65 females. 
The youngest patient was 27 and the oldest 105. The lat- 
ter may be taken with a grain of salt. There was circumstantial 
evidence, however, that she was not far from a hundred years 
old. 
57 right eyes and 61 left eyes were operated upon. Loss of 
vitreous was the only accident noted as occurring during the 
operations. This happened four times, or in less than 3I <f0. CATARACT EXTRACTIONS. 
27 
During recovery, incarceration of the iris in the wound oc- 
cured 5 times, or in a little over 4 <f0 ; prolapse of iris occurred 
11 times, or in less than 9I <f0 ; iritis occurred in 8 cases, or in 
nearly 7 <f0 ; striped keratitis was observed in 1 case in which 
the anterior chamber had been washed out ; iritis resulted in 
occlusion of the pupil in 1 case ; in 1 case there was a leaking 
anterior chamber that never was re-established, the sight being 
lost without much else to account for it, and in 4 cases there 
was suppuration followed by irido-choroiditis. 
As to secondary operations, paracentesis was done in 1 case to 
relieve an evidently increased tension, excision of prolapsed 
iris in 7 cases, cauterization of prolapsed iris in 3 cases ; dis- 
cission was done in 28 cases, or in less than 24 <f0 of the eyes 
operated upon ; iridectomy was done in 1 case, iridotomy in 
1 case, and Agnews hook operation in 1 case. 
In making up the final results, I have followed the method 
so long in vogue of calling vision gVo and upwards a " suc- 
cess," vision of "counting fingers" up to a "partial 
success," and all vision below " counting fingers," including 
no vision at all, " a failure." 
FINAL 
RESULTS. 
2 
eyes had 
vision 
20 
To- 
3 
TT- 
9 
2 0 
2 0 
Tfi- 
24 
i9 
u 
H 
cc 
H- 
i7 
2 0 
TT- 
I 2 
a 
u 
cc 
41- 
2 
u 
u 
cc 
2 0 
16 
u 
cc 
1 U U 
2%°(T- 
I 
u 
u 
cc 
I 
u 
u 
16. 
2 
u 
u 
U 
2 0 
sVo- 
2 
cc 
u 
I 
I 
u 
u 
<4 
fingers at i". 
6 
u 
cc 
u 
o and perception of light. 
io4 successes, or 88 <f0. 
8 partial successes, or 6 p0. 
6 failures, or 5 <p>. o' 
X 
0 
cn 
0 
W) 
Operation. Incidents. Course of Healing. Remarks. 
No. of days 
confined. 
Vision before Secondary Operation. 
Secondary 
Operation. 
Ultimate Vision. 
I 
F. 
50 
0. D. Smooth ; cortical ; eserine before bandaging ; 
43 
Perception of light. 
eye lost by hemorrhagic iridochoroiditis. 
2 
F. 
64 
O. S. Smooth ; uneventful. 
15 
gg with + to- D. 0 4* 3- D. ax. 10°. 
3 
M. 
55 
O. S. Smooth ; eserine ; pupillary membrane. 
14 
gg with 12. + D. 0 + t-5° D- 180°. 
Discission. 
fg with -j- 11. D. 0 + 2. D. 1800. 
4 
F. 
68 
0. S. Smooth ; eserine. 
14 
|g with + 10.5 D. 0 + 5. D. 150. 
5 
F. 
69 
0. D. Smooth ; cortical; eserine ; incarceration of iris 
22 
Cauteriza- 
Perception of light. 
followed by prolapse and iridochoroiditis. 
tion. 
6 
M. 
72 
0. D. Smooth ; eserine. 
22 
rg with 4- 9- D. 0 4* 5- D. 150. 
7 
F. 
50 
O. S. Smooth ; eserine. 
14 
fg with -J- 11. D. 0 4* 2. D. 1800. 
8 
F. 
45 
0. D. Smooth ; eserine. 
8 
|g with 4- 12- D. 
9 
F. 
60 
0. D. Eserine ; conjunctivitis. 
21 
fg with 4- 10. D. 
IO 
M. 
66 
O. S. Smooth ; eserine. 
22 
Jg with 4- to. D. 0 4" 3 D. 1800. 
II 
F. 
45 
O. D. Smooth ; eserine ; membrane. 
21 
to% with + 11. D. 0 + 5-5 D- >8o°. 
Discission. 
|g with 4- 8.5 D. 0 + 5-5 D. 1800. 
12 
F. 
80 
O. D. Smooth ; eserine. 
20 
fg with 4* ii- D. 0 4- 2.5 D. 1800. 
*3 
M. 
76 
0. S. Smooth ; eserine ; cortical ; membrane. 
24 
gg with 12. D. 
Discission. 
|g with 4- 10. D. 
I41 
F. 
64 
0. S. Smooth ; eserine ; membrane. 
16 
sVu with + 10. D. 
Discission. 
gg with 4- to- D. 
15 
M. 
65 
0. D. Loss of vitreous ; iritis. 
22 
with 4- n. D. 
16 
M. 
43 
O. S. Smooth. 
T3 
|g with 4- 10. D. 0 4- 5- O. 20°. 
17 
M. 
52 
O. D. Cortical ; membrane. 
21 
gg with 4~ 10. D. 
Discission. 
gg with 4- to- D. 0 4- 2.5 D. 150°. 
18 
F. 
60 
O. S. Loss of vitreous ; prolapse of iris. 
52 
Excised 
/<&• 
iris. 
19 
F. 
72 
O. D. Cortical; dense membrane. 
26 
Discission. 
12 
20 
F. 
60 
O. S. Smooth. 
21 
gg with 9.5 D. 
21 
M. 
61 
O. S. Smooth. 
20 
with 4- 7.5 D. 0 4- 3-5 D- 3°°- 
22 
M. 
76 
O. S. Cortical ; prolapse of iris. 
22 
ts&s with 4- 11. D. 
23 
M. 
46 
O. S. Cortical; membrane. 
J4 
with + 11. I). 
Discission. 
|g with 4- 10. D. 0 4* t- D. 450. 
24 
F. 
O. S. Purulent inflammation. 
*9 
0. 
25 
F. 
59 
O. D. Cortical. 
34 
1%% with 4- 10. D. 
26 
F. 
4° 
O. S. Cortical ; dense membrane. 
21 
Counts fingers. 
Discission. 
|g with 4- 12. D. 
27 
F- 
55 
O. D. Cortical ; striped keratitis ; membrane ; highly 
43 
Discission. 
gg with 4- 1. D. 0 4- 3 D. io°. 
myopic. 
SIMPLE EXTRACTIONS. 
28 28 
M. 
66 
0. D. 
Prolapse of iris. 
21 
Excision of 
prolapsed 
gg with -p 12. D. c- 
+ i8S°. 
2Q 
M. 
76. 
O. S. 
Uneventful. 
16 
gg with -p 11. D. 
3° 
F. 
5° 
O. S. 
Uneventful. 
17' 
|g with 4 10.5 D. 
31 
M. 
60 
O. S. 
Membrane. 
12 
Tso with + 9.5 D. c 
7 + 3 5 D. 150. 
Discission. 
gg with 4 J2. D. 
32 
M 
68 
0. s. 
Leaking anterior chamber ; membrane. 
31 
Discission. 
5%% with -P 12. D. 
33 
F. 
56 
0. s. 
Uneventful. 
20 
Excision of 
Jg with -P 10. D. 0 
-P 1.5 D. 1800. 
34 
M. 
65 
0. s. 
Prolapse of iris ; membrane. 
19 
A0® with + 5.5 D. c 
5 + 6.5 D. 150. 
prolapsed 
iris. 
35 
F. 
73 
0. s. 
Prolapse of iris ; membrane. 
21 
gg with -P 13. D. 
36 
M. 
65 
0. D. 
Uneventful. 
17 
gg with 4 12. D. 0 
+ 2.75 D. 150. 
37 
F. 
76 
O. D. 
Iritis ; membrane. 
22 
gg with -p 9. D. 0 
-P 2.5 D. 165°. 
Discission. 
gg with 4 n- D. 0 
+ 1.5 D. 165°. 
38 
F. 
63 
O. S. 
Old corneal opacity. 
14 
4'g with -p 10. D. 
39 
F. 
73 
0. S. 
Incarceration of iris ; leaking anterior chamber. 
43 
Discission. 
Counts fingers. 
4° 
F. 
77 
0. s. 
Membrane. 
25 
w. with + 10. D. 0 + 2.5 D. 165°. 
gg with -p 13. D. 
41 
F. 
67 
0. D.- 
Membrane. 
20 
sna- , 
42 
M. 
3° 
O. D. 
Membrane. 
21 
gg with -p IO' D. c 
+ 3 5 D- i5°°. 
Discission. 
gg with -P 12. D. 
43 
M. 
44 
0. S. 
Membrane. 
19 
gg with 4 IO- D. 0 
+ 1-5 D. 45°. 
Discission. 
gg with 4 12. D. 
44 
M. 
65 
0. s. 
Prolapse of iris ; membrane. 
4° 
5g5 with 4- 11. D. 
Excision of 
1V0 with -p 12. D. ' 
? -p 3. D. 30°. 
prolapsed 
iris. Hook 
operation. 
45 
F. 
27 
0. D. 
Prolapse of iris. 
12 
Cauteriza- 
go's with -P 13. D. 
tion of 
prolapsed 
46 
F. 
0. D. 
Iritis followed by occlusion of pupil. 
41 
Perception of light. 
Iridotomy. 
gg with -p u. D.o 
+ 3- D. 450. 
47 
F. 
O. D. 
Uneventful. 
15 
gg with 4 10. D. 0 
-P 8. D. 1800. 
48 
M. 
O. D. 
Patient would not stay longer in hospital. 
7 
■ 
sg'a with -P 8.5 D. - 
+ 3.5 D. 1800. 
49 
M. 
62 
O. D. 
Cortical. 
21 
with 4- 10. D. c 4- 2.75 D. 165° 
5° 
M. 
49 
O. D. 
Uneventful. 
18 
gg with -p 10. D. 0 
4- 2.5 D. 1800. 
51 
M. 
53 
0. S. 
Uneventful. 
19 
gg with 4 to- D. O' 
-j- 3. D. 1800. 
52 
F. 
61 
0. S. 
Serous iritis. 
21 
gg with 4 10. D. 
S3 
F. 
56 
0. D. 
Membrane; highly myopic. 
17 
tfW with 2. D. 0 
4~ 4. D. 1800. 
Discission. 
22go with -P 2. D. 
54 
F. 
74 
0. S. 
Membrane. 
17 
yjg, with -p 10. D. ' 
- + 2.5D. 150. 
Discission. 
gg with -p 12. D. 
55 
M. 
68 
O. D. 
Prolapsed iris ; iritis ; membrane. 
22 
with 4- IO. D. 
Discission. 
with + 8. D. 0 
4- 5- D. 90°. 
Excision 
of pro- 
lapsed 
iris. 
56 
M. 
58 
0. S. 
Membrane. 
14 
gg with -p 10. D. c 
4- 5. D. 1800. 
57 
F. 
65 
0. D. 
Old corneal opacity ; iritis. 
20 
Paracen- 
tesis. 
29 No. 
<D 
cn 
bo 
Operation. Incidents. Course of Healing. 
Remarks. 
No. of Days 
1 Confined. 
Vision before Secondary Operation. 
Secondary 
Operation. 
Ultimate Vision. 
58 
F. 
79 
0. D. Membrane. 
with + 10. D. 
© + 5. D. 1800. 
Discission. 
with 4- 11. D. 
59 
F. 
75 
0. D. Membrane. 
12 
4Ar with io- D. 
0 + 5. D. 15°. 
60 
F. 
42 
O. D. Membrane. 
15 
gg with 4- 10. D. 
2+5-5 D- i5°°. 
61 
F. 
53 
O. D. Prolapse of iris ; iridochoroiditis. 
35 
Excision of 
prolapsed 
Perception of light. 
62 
F. 
53 
0. D. Uneventful. 
9 
iris. 
gg with 4-10. D. © 4- 3. D. 180°. 
63 
F. 
64 
O. S. Membrane. 
16 
Discission. 
gg with + 10. D. ' 
2 + 3-5 D. 165°. 
64 
M. 
53 
O. D. Cortical; iritis ; membrane. 
16 
4,4 with + 10. D. 
© + 2.5 D. 150. 
Discission. 
ig with 4- 9. D. © 
+ 3.25 D. 1800. 
65 
F. 
42 
O. S. Uneventful. 
21 
gg with 4" IO- D. 
66 
F. 
60 
O. S. Loss of vitreous ; iritis. 
40 
4ro with 4- 11. D. 
67 
M. 
64 
O. D. Lost by suppuration. 
24 
0. 
68 
F. 
59 
0. D. Pterygium, and atrophy of optic nerve 
albumen 
21 
4+ with 4- 12. D. 
in urine. 
69 
F. 
54 
0. D. Membrane. 
14 
gg with + 6. D. © 
+ 2. D. 1450. 
Discission. 
gg with 4- 6- D. © 
+ 2. D. 145°. 
70 
F. 
0. S. Uneventful. 
12 
gg with 10. D. c 
2 + 4-5 D. 25°. 
71 
M. 
69 
O. D. Uneventful. 
l6 . 
gg with 4" I2- U. 
4-6. D. 1800. 
72 
M. 
46 
O. S. Uneventful. 
14 
gg with -j- 8. D. © 
73 
M. 
44 
O. S. Uneventful. 
16 
Discission. 
gg with 4- 11. D. c 
5 4- 2. D. 300. 
74 
F. 
70 
O. D. Membrane. 
12 
gg with -f- 11. D. < 
2 + 3-5° D. 1450. 
gg with 4- 12. D. c 
2 4-3-5° D- 165°• 
75 
M. 
72 
O. D. Uneventful. 
II 
r'-]j with -j- 10. D. < 
- -j- 2. D. 150. 
76 
M. 
51 
O. S. Membrane. 
II 
gg with + IO- L). < 
2 + 5- D. 450. 
Discission. 
gg with 4- 13. D. 
77 
M. 
87 
O. S. Prolapse of iris on 6th day : iritis : membrane. 
40 
with 4- 10. D. 
78 
F. 
61 
O. D. Conjunctivitis, with secretions, both. 
23 
gg with 4* io- D. 
> + 2. D. 1800. 
79 
M. 
70 
O. D. Loss of vitreous. 
48 
gg with 4- 10. D. <; 
80 
F. 
72 
0. D. Uneventful. 
32 
gg with -j- 11. D. < 
5 -|- 1.50 D. 1800. 
81 
M. 
40 
O. S. Uneventful. 
*9 
gg with 4- 10. D. 
82 
F. 
66 
0. S. Uneventful. 
3° 
gg with -j- n- D. 
83 
F. 
82 
O. S. Membrane. 
28 
Counts fingers. 
Discission. 
gg with 4-11. D. 
84 
M. 
68 
O. D. Slight incarceration of iris. 
14 
gg with 4* u. D. 
85 
F. 
55 
0. S. Uneventful. 
14 
ig with 11. D. 
86 
M. 
59 
0. S. Uneventful. 
14 
22 with + 10. D. 0 + 0.5 D. 180°. 
87 
M. 
63 
O. D. Prolapse of iris. 
43 
Cauteriza- 
gg with 4- 8. D. © 
+ 5- D. 15°. 
tion of 
prolapsed 
88 
F. 
62 
0. D. Uneventful. 
21 
gg with 4- 7. D. © 
+ 3.5 D. 1800. 
89 
F. 
42 
O. S. Uneventful. 
26 
gg with 4* u- D. © + !-25 D. 1800. 
90 
F. 
68 
O. D. Uneventful. 
28 
with 4" *3« D. 
30 91 
M. 
48 
O. S. Uneventful. 
16 
88 with 4- 11. D. 
92 
M. 
78 
O. S. Uneventful. 
17 
in with + to. D. ~ 4- 2 75 D. 1800. 
93 
F. 
70 
O. D. Incarceration of iris. 
18 
with 4" io- D. 
94 
F. 
84 
0. S. Slight incarceration of iris, gradually developing 
21 
Excision of 
M with 4- 10. D. 
into prolapse. 
prolapsed 
95 
F. 
71 
O. S. Uneventful. 
21 
is with 4- 11. D. c 
4- 3-5 I>. I5°- 
96 
M. 
75 
O. D. Uneventful. 
15 
with 4- 8. D. c 
> 4- 6. D. 170°. 
97 
M. 
72 
0. D. Uneventful. 
14 
Is with 4- 9. D. 0 
4-2 D. 30°. 
98 
M. 
58 
O. S. Uneventful. 
20 
18 with 4- 5.5 D. 
99 
M. 
68 
O. S. Eye lost by suppuration. 
35 
0. 
IOO 
M. 
75 
0. D. Prolapse of iris occurred on the 8th day ; no in- 
21 
?8- 
flammation. 
IOI 
F. 
57 
0. S. Uneventful. 
20 
with 4- 10. D. 
102 
M. 
65 
O. S. Uneventful. 
21 
?1! with 4- io- D. 
103 
F. 
74 
O. D. Uneventful ; removed degenerated capsule with 
21 
Iff with 4- i2- D. 0 + i. D. 165°. 
iris forceps after extracting lens. 
O. S Slight incarceration of iris. 
IS with 4~ io- D. 
104 
F. 
71 
21 
105 
M. 
51 
O. D. Uneventful. 
18 
78 - with 4- 9- D. 
O 4- i-75 D- 25°- 
106 
M. 
76 
O. D. Uneventful. 
14 
is - with -j- 9. D. 
O 4- 0.75 D. ioo°. 
107 
F. 
74 
O. D. Uneventful. 
10 
18 with 4* 11. D. 
108 
F. 
73 
0. D. Uneventful. 
14 
38 with 4 ii. D. 
109 
M. 
73 
O. D. Uneventful. 
16 
18- 
no 
M. 
77 
0. 1). Iritis and prolapse of iris. 
28 
with + 11. D. 
III 
F. 
79 
0. S. Uneventful. 
2 1 
88. 
112 
F. 
44 
O. D. Uneventful. 
21 
with 4- 9. D. 0 
4- 6. D. 1800. 
IJ3 
M. 
69 
O. S. Uneventful. 
21 
fg with -j- it. D. ; 
2 + 1.5 D. 1800. 
1 
2 
F. 
F. 
105 
53 
0. S. Colored woman from Williamstown, Mass; co- 
caine ; modified Graefe ; has glaucoma absolutum of 
fellow eye. 
O. S. Ether ; preliminary iridectomy ; membrane ; 
other eye previously lost after a simple extraction. 
28 
23 
jfoff with 10. D. 
Discission. 
f g with 10. D. 4.5 D. 1800. 
8g with 12. D. 
3 
M. 
7i 
0. S. Iridectomy after extraction on account of bad 
behavior of iris ; cocaine. 
23 
?g with 11. D. 
4 
F. 
56 
O. S. Ether; modified Graefe ; colored woman ; mem- 
brane ; no self-control. 
20 
5W with 9. D. 
Discission. 
fg with 13. D. 
5 
M. 
28 
O. S. Rheumatism and eczema, asthma and bronchitis ; 
cocaine ; modified Graefe ; membrane ; iritis. 
77 
?g with 11. D. 
Discission. 
Jg with 11. D. 
"COMBINED EXTRACTIONS." 
31 Ube IRntcherbocher preaS 
■fftew lijorfc