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From the Archives of the Archives
April 2009

140 Years Ago . . .

Arch Ophthalmol. 2009;127(4):429. doi:10.1001/archophthalmol.2009.15

After a broad vertical incision of the conjunctiva in the neighborhood of the insertion of the muscles, or better somewhat behind it, I burrow beneath the conjunctiva with the scissors, both toward the cornea and the opposite directions so as to separate it completely from the subjacent Tenon's capsule. Afterward I make the tenotomy and cut the capsule above and below, in the direction of the insertion of the muscle, so far that the muscle and the part of the capsule that lies upon it are completely movable, and may easily be brought forward to the border of the cornea. I pass two fine needles, attached to the two ends of the same thread, above and below, at a distance of about one line from each other; first through the capsule and the end of the muscle, and then from behind forward through the conjunctiva, and tie the loop over the conjunctiva.