Lectures on the operations of surgery : and on diseases and accidents requiring operations . may then be sponged away, and we next proceed to search for theanterior attachment of the muscle. The outer margin of the woundis to be held upon the stretch by means of the forceps, and thiseffort is usually sufficient to evert the ball as far as is requisite, andkeep the wound patulous. While in this position the surgeon hold-ing in the other hand a silver hook of this form, (fig. 40,) carefullyinserts its point beneath the muscle just behind its the forceps, the hook is drawn
Lectures on the operations of surgery : and on diseases and accidents requiring operations . may then be sponged away, and we next proceed to search for theanterior attachment of the muscle. The outer margin of the woundis to be held upon the stretch by means of the forceps, and thiseffort is usually sufficient to evert the ball as far as is requisite, andkeep the wound patulous. While in this position the surgeon hold-ing in the other hand a silver hook of this form, (fig. 40,) carefullyinserts its point beneath the muscle just behind its the forceps, the hook is drawn forwards until the mus-cle is easily distinguished, and then with the scissors we divideevery fibre so as to place the ball completely under the control ofthe rectus externus. The eye is now closed, and after the lapse ofa minute or two again opened. If the operation is successful we find the pupil in the centre ofthe orbit, and all voluntary motion of the ball inwards or towardsthe nose, entirely lost. Sometimes, however, I have seen the pupil 112 AFFECTIONS OF THE 39. Fig.
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