This historic book may have numerous typos and missing text.
Purchasers can download a free scanned copy of the original book
(without typos) from the publisher. Not indexed. Not illustrated.
1915. Excerpt: ... a tendon hook is passed under the tendon of the
muscle, and one of the needles is passed through the tendon and out
again so as to include its middle f. The suture is now firmly tied
around this middle f, and that part of the tendon cut from its
attachments to the globe and the incision extended upward until a
narrow ribbon of muscle about 12 mm. long is isolated. With a dull
pointed scissors a channel is now dissected from the margin of the
tarsus where the conjunctival incision ended and between the tarsus
and the skin to the ciliary margin. One of the needles is now
passed through the channel and made to emerge through the skin just
above the cilia near the center of the lid, and the second needle
is passed likewise, piercing the skin 3 mm. from the first. Gentle
traction is now made on the sutures, and the muscle slip is pulled
into the channel in the lid until finally its end is drawn quite
down to the ciliary margin, when the sutures are tied over a small
piece of folded gauze. The incision in the conjunctiva is now
sutured with great care with fine silk, that of the globe over the
remaining superior rectus muscle and that of the lid over the
muscle slip now attached in the lid. Especial care should be taken
to carefully coapt the conjunctiva at the fornix, as a disregard of
this precaution has led to prolapse of the fornix conjunctiva. The
immediate effect should be a considerable overcorrection. After
both operations, the eyes could not be completely closed for
several days and precautions should be taken to avoid an exposure
ulcer. In neither of these eyes was there any injury to the corneal
epithelium, and the final result, as can be seen from the
photographs, is quite satisfactory. The patient, J. H. H., aged
six, had a congenital ptosis of bot...
General Books LLC
|Country of origin:
American Ophthalmological Society
||246 x 189 x 14mm (L x W x T)
||Paperback - Trade
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