Text-book of ophthalmology . hrough the loop c. pleted we close the lids and place upon them first a pledget of sterilized gauze, and upon this lay a dressing of cotton, which is held in place by a bandage. After an operation in which the eyeball is freely opened (as in iridectomy or cataract operations), I fix the mass of cotton in place upon the eye by means of a strip of linen 4 or 5 cm. broad, whose two ends are attached to the cheek and forehead respectively by soap plaster. [In operations of all kinds it is well to fasten down the gauze-cotton dressing securely in some such way as this,
Text-book of ophthalmology . hrough the loop c. pleted we close the lids and place upon them first a pledget of sterilized gauze, and upon this lay a dressing of cotton, which is held in place by a bandage. After an operation in which the eyeball is freely opened (as in iridectomy or cataract operations), I fix the mass of cotton in place upon the eye by means of a strip of linen 4 or 5 cm. broad, whose two ends are attached to the cheek and forehead respectively by soap plaster. [In operations of all kinds it is well to fasten down the gauze-cotton dressing securely in some such way as this, and then, except when we wish to produce pressure on the eyeball, the bandage may be omitted—preferably so, according to many, in cataract-extractions.—D.] In operations for cataract, etc., I fasten over the dressing a light latticed frame of wire (Fig. 409), which prevents the patient from getting at his eye with his finger and doing harm by making the wound burst open. Snellen uses for this purpose a plate of aluminum,. [Fig. 410.—Rings xMask 926 TEXT-BOOK OF OPHTHALMOLOGY shaped like a mussel shell and fastened over the eye with strips of plaster.[The same end is accomplished very satisfactorily by Rings light paste-board mask (Fig. .410). This completely covers both eyes, but, as awindow can readily be cut in it, either eye may be left open whendesired (see also page 54).—D.] [Some prefer to dispense with a dressing altogether after operations, believ-ing that it does not really prevent movements of the lids or the eye that wouldinterfere with the healing of the wound, and that it does favor the damming up ofsecretions and the multiplication of germs in the conjunctival sac. And, as a matterof fact, if the conjunctiva is predisposed to inflammation, bandaging the eye willcause a profuse accumulation of secretion in the sac, so that the dressing has tobe removed, and the eye irrigated several times a day with sterile salt solution andargyrol or protargol. So far as s
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