This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
Every neat operator takes pride in delivering an enucleated eye-ball as clean as a peeled onion, but now and then conditions arise which make this result exceedingly difficult, if not entirely impossible. Among the circumstances interfering with neat work are:
1. Venous stasis and edematous infiltration of the integuments of the lids.—The lower cul-de-sac is then almost effaced and does not hold a speculum, eversion of the inferior lid allowing the wire to slip. A Desmarres retractor is equally unsatisfactory, while a sharp tenaculum is apt to inflict damage. In such cases I have worked with the greatest convenience with the help of sufficiently stout suture threads. One is passed through the upper lid and another through the lower about 3 millimeters from the free border and near the center of the palpebral fissure. The ends of each suture are then tied, both to prevent slipping out and to afford
WEYMANN MF. SOME TECHNICAL SUPPLEMENTS IN COMPLICATED ENUCLEATIONS. JAMA. 1901;XXXVI(15):1041–1042. doi:10.1001/jama.1901.52470150037002l
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: