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NORMAN S. JAFFE, MD; DAVID S. LIGHT, MD

Arch Ophthalmol. 1965;73(4):516-518.

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

This report is concerned with oral glycerin as a hypotensive agent in cataract surgery. The advantages of operating on a soft eye are unquestioned. The first approach to surgical hypotonia, digital pressure^1,2 following retrobulbar anesthesia, has now achieved wide acceptance. Osmotic agents, however, have been more recently advocated. Urea and later mannitol^3-10 have been used with benefit. The main disadvantage of these agents has been that infiltration at the injection site may be complicated by a severe tissue slough. Other problems have been the availability of trained technical assistants to administer intravenous solutions, transportation to the operating room, and the necessity for continuous observation of the injection site during surgery. There have also been reports of serious toxic reactions to these agents. Furthermore, they cannot be given orally since urea exerts profound emetic and purgative effects, while mannitol is ineffective due to failure of intestinal absorption.

The use . . . [Full Text PDF of this Article]

Author Affiliations
Miami Beach, Fla

From the Department of Ophthalmology, University of Miami School of Medicine, and St. Francis and Mt. Sinai Hospitals.

Footnotes
Submitted for publication Oct 21, 1964.

Reprint requests to 1680 Meridian Ave, Miami Beach, Fla 33162 (Dr. Jaffe).

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