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Preliminary Report on Its Importance in Cataract Surgery

HOWARD F. HILL, MD; EDUARDO LOPEZ, MD; KEVIN HILL, MD

Arch Ophthalmol. 1963;70(2):178-180.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The application of digital pressure to the eye and orbit following retrobulbar injection of local anesthetics prior to cataract surgery has become a routine procedure to many ophthalmic surgeons. The studies of Kirsch^1,2 established the efficacy of this maneuver and suggested that the optimal length of time for the application of digital pressure is five minutes. Possibly because of the very fact that this maneuver has become routine, it is often assumed without reservation that ocular hypotony has occurred, unless there is visible evidence of retrobulbar hemorrhage.

The present study of ocular tension following retrobulbar injection of an anesthetic and during the period of digital pressure to the orbit clearly indicates that such an assumption is unwarranted. This evidence is so conclusive that it is felt that an incision in cataract surgery should never be made, even after five minutes of digital pressure, until hypotony has been proven by . . . [Full Text PDF of this Article]

Author Affiliations
Waterville, Maine

Footnotes
Submitted for publication Feb 11, 1963.

Presented before the Massachusetts Eye and Ear Infirmary Alumni Association, April 22, 1963.

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