Ophthalmic and otic memoranda / By D.B.St. John Roosa ... and Edward T. Ely.

  • Ely, Edward T. (Edward Talbot), 1850-1885
Date:
[1885]
Catalogue details

Licence: Public Domain Mark

Credit: Ophthalmic and otic memoranda / By D.B.St. John Roosa ... and Edward T. Ely. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    if it cannot be replaced, the prolapsed part must be snipped off with scissors. It is a cardinal rule never to leave any iris entangled in the lips of an incision. After escape of a cataract a few drops of vitreous may follow, but if eye is closed and bandaged at once, recovery may occur without bad consequen- ces. Still a loss of vitreous is to be regarded as an unfavorable occurrence. It is apt to be attended by detachment of the retina and by intra-ocular hemorrhage. Strabismus-operation : Tenotomy : Stra- botomy [Dieffenbach, Germany, 1839] : A fold of conjunctiva and sub-conjunctival tissue is seized by the forceps near margin of cornea and over insertion of tendon to be divided. This fold is snipped by blunt-pointed scissors, curved on the flat, which are then passed into the opening by a burrowing motion, made to thoroughly divide the sub-conjunc- tival tissue about the insertion of the muscle. Strabismus-hook is inserted and passed under tendon so as to catch it up, after which it is brought into view by pushing aside conjunc- tiva. While held on hook, it is divided by scissors close to its insertion. Another hook is then inserted and moved freely around, and any remaining fibres caught up and divided in same way. There are several minor modifications of this method of operation. The wound in the conjunctiva is united by sutures when desired. There are certain