Atlas and epitome of operative ophthalmology . ceps can be dispensed with. The affectedportion of the tissue is manipulated by drawing it out withthe instrument until it is free from granules. The anglesof the lid and, if necessary, the caruncle must be carefullyattended to. If the tarsal conjunctiva contains granules,one blade of the roller forceps is applied to the skin of thelid and the other to the conjunctiva, and the instrumentpassed over the lid several times in this way until all thegranules have disappeared. In all these expressing operations it is a wise precautionto wear protective
Atlas and epitome of operative ophthalmology . ceps can be dispensed with. The affectedportion of the tissue is manipulated by drawing it out withthe instrument until it is free from granules. The anglesof the lid and, if necessary, the caruncle must be carefullyattended to. If the tarsal conjunctiva contains granules,one blade of the roller forceps is applied to the skin of thelid and the other to the conjunctiva, and the instrumentpassed over the lid several times in this way until all thegranules have disappeared. In all these expressing operations it is a wise precautionto wear protective spectacles, so as to guard against anyof the infectious material entering the eyes. I have heardthat in Russia physicians have become infected while per-forming this operation. No bandage is required after the operation, and thepatient, as a rule, feels very much relieved. [Immediatelyafter an operation for expression, with forceps, of trachomagranules, iced compresses are of service. The subsequent OPERATIONS ON THE LACRIMAL ORG ASS. 347 140. treatment with a bichlorid (1 : 7000) lotion and argyrol orprotargol, to lessen discharge, is important.—Ed.] D. OPERATIONS ON THE LACRIMAL ORGANS. In the great majority of cases operative interference isrequired to correct abnormalities in the flow of the tearsinto the nose, usually as a result of narrowing of the nasalduct and its consequences. 348 OPERATIONS ON THE EYE. Figs. 141-148.—Instruments for operations on the lacrimal passages : Fig. 141.—Retractor after L. Müller. Fig. 142.—Glass syringe with cannula. Fig. 143.—Blunt (conical) probe for dilating the canaliculus. Fig. 144.—Webers knife for splitting the canaliculus, curved. Fig. 145.—Same instrument, straight. Fig. 146.—Bowmans sound, before it has been bent for use. Fig. 147.—Bowmans sound, after it has been bent for use. Fig. 148.—Von Weckers hollow sound. 1. Simple eversion of the lower lacrimal punc-tum when the lacrimal passages are otherwise normalma
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