In the endeavor to establish a cul-de-sac in cases where from any cause the conjunctival sac has become reduced to such an extent that an artificial eye can not be worn, very many devices have been resorted to. Operative procedures which involve the transplanting of a flap of integument or of mucous membrane have been most numerous. Flaps of integument with a pedicle, flaps without a pedicle (Wolfe) taken from various parts of the body, Thiersch grafts, mucous membrane from the lips (Abadie), vulva1 and prepuce (Bock) using that of an infant; heterogeneous tissue as conjunctiva from the rabbit, first employed by Wolfe2 in 1883. Harlan3 has devised a method of operating in which by means of a lead wire he seeks to establish a canal at a depth in the tissue corresponding to the normal location of the fornix conjunctivæ. When the canal is lined with
WEEKS JE. AN OPERATION FOR ESTABLISHING A CUL-DE-SAC FOR THE WEARING OF AN ARTIFICIAL EYE; WITH REPORT OF CASES. JAMA. 1902;XXXIX(8):422–423. doi:10.1001/jama.1902.52480340016001e
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