The operation of evisceration was devised by Graefe in 1884, his object being to prevent death from meningitis following removal of suppurating globes; and by Mules of Manchester, England, at about the same time, his object being to prevent sympathetic ophthalmitis which occasionally follows enucleation. Since which time this operation has been urged by some surgeons as furnishing a more suitable stump for prothesis.
In 1885 Mr. Mules devised and executed the operation which bears his name. This consists in ordinary evisceration, including ablation of the cornea and the insertion of an artificial vitreous.
In 1886 Mr. Adams Frost of London practiced the insertion of a glass ball immediately after enucleation; his method was as follows: After incising the conjunctiva all around the cornea the tendons of the recti were secured by sutures, then enucleation followed with the insertion of the globe, after which the sutured tendons were fastened and
TODD FC. MULES' OPERATION. JAMA. 1901;XXXVII(21):1369–1374. doi:10.1001/jama.1901.62470470011001c
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