The realization of the occasional need for simplifying this operation and of making it quicker, whilst at the same time preserving an equally good stump, led to the development here described.
The classical enucleation is that of Arlt where the conjunctiva is incised around the periphery of the cornea and dissected back, in fact deliberately turned back so as to expose the tendons, which are raised on the scissors and snipped in the succession, of one lateral and then two recti in the vertical plane preceding the nerve section. Bonnett also dissects the conjunctiva, raises the tendons on a hook and cuts all of the recti before severing the nerve. Knapp follows Arlt, with the exception that he does all his dissection on the hook. Arlt's procedure is deservedly the classical one, and will probably be the one followed in nearly every suitable case by nearly every operator inasmuch as
MITCHELL AT. THE ENUCLEATION OF THE EYE IN TWO MINUTES BY A NEW METHOD, WITH DEMONSTRATION.. JAMA. 1901;XXXVII(23):1520-1521. doi:10.1001/jama.1901.62470490018001e