The advantages of the method proposed are as follows:
Entire absence of the puckered distortion of the globe such as occurs with either the horizontal or the vertical incisions.
Better motility of the artificial eye because of a better support afforded by the four ply thickening of the corneal overlaps.
Free access to the inside of the globe, making it much easier to remove the entire contents and to resect the optic nerve when desired.
While I have not tried it, I believe that this method of closing the eyeball would be much more likely to retain a small gold or glass globe.
Better cosmetic appearance with artificial eye, as there is less sinking of the upper lid.
No alteration in the lines of action of any of the recti, as the crucial incisions bisect the spaces between their insertions.
The steps in the operation are :
Make the usual circular
O'CONNOR R. EXENTERATION OF THE OCULAR CONTENTS BY A NEW TECHNIC. Arch Ophthalmol. 1930;3(2):151–152. doi:https://doi.org/10.1001/archopht.1930.00810040029003
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: