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The Journal of Ophtalmology, Otology and Laryngology, 1898, Vol. 10 (Classic Reprint)
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Barnes and Noble
The Journal of Ophtalmology, Otology and Laryngology, 1898, Vol. 10 (Classic Reprint)
Current price: $31.45
Barnes and Noble
The Journal of Ophtalmology, Otology and Laryngology, 1898, Vol. 10 (Classic Reprint)
Current price: $31.45
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Size: OS
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Excerpt from The Journal of Ophtalmology, Otology and Laryngology, 1898, Vol. 10
Upon everting the lid and tying these two sutures, the ciliary margin of the former was fastened temporarily to the eyebrow, with the cutaneous surfaces in contact, and the conjunctival sur face of the lid to the front. Thus the denuded areas on the lid and globe, respectively, were held well apart, and reattachment rendered impossible. No attempt was made to cover the raw surface on the globe above the cornea.' After securely anchoring the everted lid to the eyebrow, as above described, a gauze pad thickly coated with vaseline was laid upon the lid and unprotected globe, and held in place by a loose bandage. Directions were given for the instillation of oil at regular intervals, and for the frequent change of the vaseline dressing, as well as for the periodical irrigation with warm solution of boracic acid, 4 per cent. The patient, to my surprise, did not suffer any special inconvenience In consequence of the false position of the lid, and in four days the raw surfaces had healed, and the lid was released and brought down into its proper relation with the globe. This case has been a perfect success. Not only has the symblepharon been cured, but the vision also, in each eye, has greatly improved in consequence of the gratlage. The patient now reports himself as being the happiest man in Leavenworth, which I mention as an earnest of the success attained in this seemingly hopeless case. I was assisted in this operation by Drs. S. B. Langworthy of Leavenworth, Kas and W. F. Lippitt of the U. S. Army The only change which I made in Scott's method was the per formance of the canthotomy, which I think an advantage. Why the symblepharon should have resulted in the one eye from the graffage I am unable to say, as I was extremely careful to avoid touching the globe with the brush while rubbing the scarified lid.
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