The practice of surgery . skin from the length of the eyelid, as close as possible to itsmargin, between the perpendicular incisions, and in uniting the edgesof this wound carefully by three or four fine sutures, which are nowalso passed through the edge of the lid and finally secured upon theforehead by strips of sticking-plaster. The perpendicular incisions arenot to be permitted to close by first intention, but lunar caustic or sul-phate of copper is to be applied j;o them from time to time, so that theymay be made to granulate. Mr. Guthrie objects to the transverse in-cision of Mr. Crampto
The practice of surgery . skin from the length of the eyelid, as close as possible to itsmargin, between the perpendicular incisions, and in uniting the edgesof this wound carefully by three or four fine sutures, which are nowalso passed through the edge of the lid and finally secured upon theforehead by strips of sticking-plaster. The perpendicular incisions arenot to be permitted to close by first intention, but lunar caustic or sul-phate of copper is to be applied j;o them from time to time, so that theymay be made to granulate. Mr. Guthrie objects to the transverse in-cision of Mr. Crampton, as being not only unnecessary but injurious. In entropium of the lower lid, Mr. Guthrie generally finds it neces-sary to divide the tarsal cartilage only at its outer angle, and to evertthe lid as in the case of the upper; in very inveterate cases, how-ever, a similar division is made at the inner extremity also, avoiding thepunctum; union by granulation is insisted upon, as in the operation onthe upper Fig. [Mr. Guthries operation.—a, b. The perpendicular incisions, c. The ligatures supporting the lids. <1. Theconfining strips, e. Line of incision in a case of inversion of the lower lid. (From Lawrence, Am. Ed.)—Ed. J 1 [Operative Surgery of the Eye, p. 30, &c.] 102 ECTROPION. The accompanying figure, copied from Mr. Guthries book, exhibitsa view of this operation. In a very interesting paper on Entropium, published in the DublinMedical Journal, for March, 1844, Mr. Wilde recommends an operationfor it, which differs from that advised by Professor Miller for trichiasis,only in the fact that, after the excision of the cilia and their bulbs, theedge of the mucous membrane, which has been carefully preserved un-touched by the knife, is nicely united by fine sutures with that of the skin,so that union by first intention, instead of by granulation, is secured. Mr. Haynes Walton, in a very recent work on Operative Ophthal-mic Surgery, in which he appears to have
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