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Article
October 13, 1900

SYSTEMATIC CLEANSING OF THE NASAL CAVITIES BEFORE OPERATIONS WHICH INVOLVE OPENING OF EYEBALL.

Author Affiliations

PITTSBURG, PA.

JAMA. 1900;XXXV(15):930-932. doi:10.1001/jama.1900.24620410014001c
Abstract

Operations which involve penetration of the ocular tissues, such as cataract extraction, discission, the removal of foreign bodies from the interior of the globe, and iridectomy, whether optical, therapeutic or preliminary to the removal of cataract, are sometimes followed by inflammation of different degrees of intensity, with results varying from a simple and possibly harmless synechia to a destructive panophthalmitis. A considerable portion of these unfortunate results may be prevented by a well-executed operation characterized by a sufficiently large incision, gentle manipulation, careful cleansing and accurate approximation of the lips of the wound. But the most perfect operation—from a mechanical point of view—is occasionally the first step in a series of changes which, passing through corneal infection and suppurative inflammation, terminates only with enucleation of the eye.

The measures usually taken to prevent infection have reference to the field of operation and to the preparation of the instruments. In regard

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