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Expression of the lids is a valuable procedure in the treatment of blepharitis or blepharoconjunctivitis. Only too often does one forget to do this. If expression reveals considerable secretion, it should be done once or twice weekly for a number of weeks, until the secretion becomes minimal.
Prior to expression, a few drops of tetracaine hydrochloride U. S. P. (pontocaine®) or other local anesthetic are instilled. In cases in which the secretion is considerable, injection of staphylococcus toxide may be helpful. In some instances, minimal doses of roentgen radiation may be tried. Material for smears and cultures should be taken wherever possible Penicillin, the sulfonamide drugs, astringents and other local medicaments are frequently of value.
Recently I designed an expressor forceps. Although it has limitations, I think it is better than anything which I have used or seen. It is simple to use and takes little time. The blades adapt
SPERO GD. LID EXPRESSION FORCEPS. Arch Ophthalmol. 1950;43(5):914. doi:10.1001/archopht.1950.00910010929019