From that time on for nearly half a century this form of iridotomy
was practically abandoned, the pendulum swinging toward the use of
scissors, which Maunoir had popularized and Scarpa had indorsed.
Walton,[18] however, about 1852, proposed a method closely resembling
that of Heuermann and almost identical with that of Beer (vide Fig.
6). His iris-knife (Fig. 12) was practically the same as the broad
iris-knife of Beer. He incised the cornea near the limbus, and
passed the knife across the anterior chamber to the middle of the
iris-membrane which he punctured with a sweeping vertical incision
(Fig. 13). If the tissue still retained its elasticity there appeared
a long pupillary aperture, elliptical and vertical (Figs. 14 and 15).
This incision, however, like all those made through a single set of the
iris fibers, was only successful when there was sufficient resiliency
remaining in the iris tissue to draw the slit open, and thus keep the
edges from uniting. While this method never became very popular, there
were some who later practiced it by substituting a very narrow Graefe
knife for the iris-knife of Heuermann, Beer and Walton. In fact, this
latter procedure still has considerable vogue, both for iridotomy and
capsulotomy.
[18] Walton, H. Haynes: The Surgical Diseases of the Eye, London, 1861,
p. 604.
[Illustration: Fig. 14.--Occlusion of pupil (Walton).]
[Illustration: Fig. 15. New pupil after incision with iris-knife
(Walton).]
During the following seventeen years no notable advance was made, the
scissors method still retaining its hold on the profession, until
in 1869, von Graefe, after long reflection, became convinced of the
dangers of that method, and communicated to one of his pupils, M.
Meyer, his method of simple iridotomy performed with the knife-needle.
Meyer[19] quotes his views as follows:
[19] Meyer, Edouard: Traité Pratique des Maladies des Yeux, Paris,
1880, translated by Freeland Fergus, Philadelphia, 1887, p. 396.
“For such cases von Graefe has suggested another method of operation,
the principle and execution of which are contained in the following
note written for us by that illustrious savant in 1869:
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