Atlas and epitome of operative ophthalmology . he upper lid drawn down andattached to the cheek with a suture (Fig. 2). Four days later the defectwas covered with skin after the Thiersch method. Fig. 2.—Showing the wound before the skin-grafting. Plate 21. The same eye two weeks later, after uninterrupted recovery. Closureof the palpebral fissure is perfect. On November 16th, and again on December 16th, however, a secondaryand a tertiary operation, although not as extensive as the first, had to beperformed, after which the condition shown in Plate 21 persisted perma-nently, although in ordinar


Atlas and epitome of operative ophthalmology . he upper lid drawn down andattached to the cheek with a suture (Fig. 2). Four days later the defectwas covered with skin after the Thiersch method. Fig. 2.—Showing the wound before the skin-grafting. Plate 21. The same eye two weeks later, after uninterrupted recovery. Closureof the palpebral fissure is perfect. On November 16th, and again on December 16th, however, a secondaryand a tertiary operation, although not as extensive as the first, had to beperformed, after which the condition shown in Plate 21 persisted perma-nently, although in ordinary closure of the eye the palpebral fissure gapes2 mm. at the temporal extremity. bone, the upper lid was attached far back on the defectiveorbital margin, was relieved by an operation consisting inseparating the lid and drawing it down as far as the entire skin of the lid had to be made anew, asthere was only a narrow remnant along the palpebral result (Plate 19, Fig. 2) has persisted unchanged forthree years. Htata. ./ mW


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