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A frequently troublesome phase in the performance of enucleation is the control of hemorrhage after section of the optic nerve.
The commonest practice is to section the nerve with scissors, remove the globe, and then pack the socket until hemorrhage has ceased. This frequently prolongs the operation and does not always result in satisfactory hemostasis, particularly when a glass ball is to be inserted in Tenon's capsule.
Another practice is first to apply a small curved hemostat to the optic nerve well back toward the apex of the orbit, then to insert the scissors, the curve of which fits that of the hemostat, between the hemostat and the globe and thus sever the optic nerve. This prevents hemorrhage satisfactorily, but it is often difficult to manipulate the two separate instruments within the orbit. Frequently there is left only a short length of optic nerve attached to the globe, as in
Bair HL. NEW ENUCLEATION SCISSORS COMBINED WITH HEMOSTAT BLADES. Arch Ophthalmol. 1939;22(3):449–450. doi:10.1001/archopht.1939.00860090115015
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