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While the application of the lid clamp to the lids, for the removal of chalazion, controls hemorrhage, it is quite painful even though the conjunctiva is quite well cocainized. As soon as the clamp is released, an annoying bleeding occurs and the curettage of the sac makes even the most stoic wince. It occurred to me that it would be a gain if I could make use of the Freer method of anesthesia and blood control used in nasal surgery. I have done this with such success that I give it to the profession:
A cotton tipped probe is dipped into the stock solution of epinephrin, and a few flakes of pure cocain picked up; this is rubbed into the conjunctiva over the mass and a short distance beyond. In two minutes, with the same probe and solution, the area is again rubbed. In another two minutes anesthesia and blanching
Bernstein EJ. PAINLESS AND BLOODLESS REMOVAL OF CHALAZION WITHOUT LID CLAMP. JAMA. 1917;LXIX(7):532. doi:10.1001/jama.1917.25910340001010