Fig. 10.—Visual fields taken before and after operation, showing the tension and vision. Excellent fixation of the eye is secured by holding the conjunctival flap with blunt forceps. Sharp mouse tooth forceps may cause tearing of the flap. The eye is easily rotated downward by gentle traction. The pull on the conjunctiva is distributed over a wide area of attachment. In addition, I usually place a suture in the superior rectus muscle. It has been suggested that sutures be placed in both lateral rectus muscles.
The insertion of the suture in the conjunctiva previous to scleral incision is of great importance, as it is easily and safely done at the time, and should loss of vitreous threaten, immediate closure is possible. It is both dangerous and difficult to place a suture when a prolapse threatens.
No injury to the lens has occurred, as the iris is grasped by the forceps,
PARK WH, KERESZTURI C, MISHULOW L. EFFECT OF VACCINATION WITH B C G ON CHILDREN FROM TUBERCULOUS FAMILIES. JAMA. 1933;101(21):1619–1626. doi:10.1001/jama.1933.02740460021006
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