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It is desirable that both patient and operator be in good physical condition. The surgeon, his assistant, patient, instruments, and operating room should all be rendered as aseptic as possible, because asepsis is the fundamental principle of modern surgery, which no ophthalmologist can afford to disregard, even when doing an ocular tenotomy. The operator's hands should be washed with pure soap and hot water, by the aid of a hand brush, so as to loosen all bacteria and other infectious materials lodged on the skin, attached to the hairs, embedded in the mouths of the oil or sweat glands or under the finger nails. This loosened débris is best removed by running hot water. The face, and beard (if the operator have one), are cleansed with scrupulous care. When dried, the hands are soaked in bichlorid solution, 1 to 1000. The assistant and patient cleanse themselves in a similar manner.
CONNOR L. THE TECHNIQUE OF TENOTOMY OF THE OCULAR MUSCLES. JAMA. 1895;XXV(18):739–741. doi:10.1001/jama.1895.02430440007002b
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