For several years I have been accustomed to use coagulants in surgical operations on the eyeball and its adnexa. The excellent results that I obtain with such agents and the fact that they are so little utilized. at least so far as I have been able to ascertain, prompted me to call the attention of my colleagues to a technic which, without warrant, has been generally neglected.
The objection may be raised that skilful and opportune administration of epinephrine hydrochloride or the use of thermocautery suffices to prevent or to inhibit the minute hemorrhages which may complicate an otherwise adroitly and expeditiously performed operation. These two measures represent completely disparate mechanisms.
Epinephrine, as every one knows, inhibits hemorrhage by the contractile effect exerted on the vascular walls and the concomitant constriction of the lumen. But the drug has no influence on atheromatous vascular walls, and this