Surgical Technic; a Text-Book On Operative Surgery

Cover Surgical Technic; a Text-Book On Operative Surgery
Surgical Technic; a Text-Book On Operative Surgery
Nicholas Senn
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This operation, however, has been superseded by the more conservative ENUCLEATION OF THE EYEBALL, that is, tJie removal of the eyeball from Tenon s capsule.
This operation is to be made : — (rt) In cases of intra-ocnlar tumors that have not yet perforated.
(^) In progressive disease of the bulb contents {sympathetic ophthalmia).
1. The conjunctiva is removed after raising a fold of Xht palpebral liga- ment about 3 millimeters from the right or the left corneal margin. An incision is then made i
...nto zV with a pair of curved scissors, and it is detached toward the equator.
2. Now, with a strabismus hook, the tendinous insertion of the corre- sponding rectus muscle is searched for and severed from the sclera. By extending the incisions into the conjunctiva upward or downward and always concentrically to the corneal margin, and by grasping and dividing the insertions of the corresponding muscles, a circular conjunctival ivonnd parallel to the corneal margin is pro- duced, in zvhicJi the insertions of the four recti muscles are divided.


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