Text-book of ophthalmology . rsectomy see page 963.][(b) Total Tarsectomy.—This operation, devised by Heisrath, has beenmodified by Kuhnt. It is used in the cicatricial stage of trachoma, whenthe tarsus is degenerated and incurved and the conjunctiva is wholly or inlarge part cicatricial. The lid is everted, and an incision made through con-junctiva and tarsus close to the free border of the lid and parallel with cut segment of tarsus is then dissected from its attachments and par-ticularly from the conjunctiva, which is no longer tightly adherent to it(see page 169). The dissection is


Text-book of ophthalmology . rsectomy see page 963.][(b) Total Tarsectomy.—This operation, devised by Heisrath, has beenmodified by Kuhnt. It is used in the cicatricial stage of trachoma, whenthe tarsus is degenerated and incurved and the conjunctiva is wholly or inlarge part cicatricial. The lid is everted, and an incision made through con-junctiva and tarsus close to the free border of the lid and parallel with cut segment of tarsus is then dissected from its attachments and par-ticularly from the conjunctiva, which is no longer tightly adherent to it(see page 169). The dissection is carried as far as the upper border of thetarsus. The insertion of the levator is then divided, and the tarsus, beingnow free from attachments, is removed. The cut edge of conjunctiva to the rim of tarsus left at the free border of the lid (Romer).—D.] 834. Other Methods. Advantages of Each.—The relapses which are of frequentoccurrence alter Arlta operation, ;is well as after many other methods, have the fol-. OPERATIONS ON THE LIDS 951


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Keywords: ., bookcentury1900, bookdecade1910, booksubjecteye, booksubjectophth