StLouis courier of medicine . e cornea at least five-eighths of an inch all around. When the dissection is com-pleted the sutures are to be inserted as in Fig. 1, drawing halfof them to the side of the nose and the remainder to the ; they arc out of the way of the operator and ready for im-mediate use. The next step is a complete and free division of 112 Original Articles. [Feb., 1886. the tendons of the superior and inferior recti muscles. As thespeculum is held offthe eye ball by an assistant, the staphylomaand entire cornea is to be removed by a V-shaped incision. Forthis purpo
StLouis courier of medicine . e cornea at least five-eighths of an inch all around. When the dissection is com-pleted the sutures are to be inserted as in Fig. 1, drawing halfof them to the side of the nose and the remainder to the ; they arc out of the way of the operator and ready for im-mediate use. The next step is a complete and free division of 112 Original Articles. [Feb., 1886. the tendons of the superior and inferior recti muscles. As thespeculum is held offthe eye ball by an assistant, the staphylomaand entire cornea is to be removed by a V-shaped incision. Forthis purpose I have used Beers knife, making the first cul dow n-wards. Thus, if the left eye is operated on and the righl hand ofthe operator used, the cut should come below the cornea; thestaphyloma is then to be removed with scissors and if the firstincision is made as suggested, this can be done without much lossof the vitreous. After the diseased part is removed the edgesof the wound are to be brought together with catgut sutures,. Fig. 1. Fig. 2. which are passed through the sclera a- i- Bhown in Fig. 2. Ifthe tissues are thin it may he difficult to do this, hut: it should bedone if possible. The suture- are to be tied and cut eye ball must then be carefully cleansed, with the bichloridesolution if thought advisable, and covered by the conjunctivalflaps. The after-treatment is the same as in ordinary surgicalinjuries of the eye. The object of dividing the recti musclesis to remove their tension from the flaps, which permits com-plete coaptation and aids healing by first intention. Thus in a case lately operated upon, healing was immediateand the bandage removed on the eighth day—a result hardlyto be expected in the ordinary operation. It is unnecessary toremove any sutures, the gut stitches are absorbed and the silkones thrown off. As I have stated above, I do not propose to defend any opera-tive procedure in the ciliary region of the eye in a debate onsympathetic ophth
Size: 2668px × 937px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, bookidstlou, booksubjectmedicine
