Methonium Compounds in Ophthalmic Surgery.


DEAR SiRs-In Mr. Neubert's letter in your December issue (British Journal of Ophthalmology, 35, 798) he writes as if it were impossible to suture an eye that has been incised with a knife. This is of course not so, but nevertheless I was much interested to read his letter, although I cannot agree with his statements. In 1947 I was able to spend two months in New York watching Mr. Castroviejo's work. On my return to India I adopted his technique and have used it for the last 350 cataract extractions which I have done. I work without an assistant, but I find no difficulty in so holding the conjunctival flap that I can watch the tip of the keratome. Similarly, when enlarging the incision with curved scissors, the blades can be watched within and without the anterior chamber, although after a time it is often not necessary to watch the blade within the chamber since its position can be felt. I have never had to use a vectis because of an oblique incision. This technique admittedly takes a little longer; my first case took about an hour but now twenty minutes is about the average time from starting the conjunctival incision to tying the last stitch. It is a very satisfactory procedure and one feels that one has completed a proper surgical technique with an incision adequately sutured, which is of great importance in a jungle hospital where we have insufficient staff to watch all the patients all the time. On one occasion I found an old man climbing the hospital fence on the morning following his operation, with, I am glad to say, no untoward results. This would not have been so in the days when I used a knife and did not suture my incisions. Yours faithfully,

Cite this paper

@article{Davies1952MethoniumCI, title={Methonium Compounds in Ophthalmic Surgery.}, author={Richard M. Davies and Alice Mason}, journal={The British journal of ophthalmology}, year={1952}, volume={36 5}, pages={274-5} }