New truths in ophthalmology / as developed by G. C. Savage.

  • Savage, G. C. (Giles Christopher), 1854-1930.
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: New truths in ophthalmology / as developed by G. C. Savage. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

    265/294 (page 251)
    thread was drawn up to the insertion of the tendon thus shortening the muscle to a corresponding extent. The flap of conjunctiva was now allowed to fall down oyer the knuckle of muscle. The stitch was allowed to remain from four to six days, at the end of which time the muscle was fixed, by adhesive inflammation, in its new relation. The modification suggested by Dr. Tenney in a personal letter I at once adopted. As thus modified the operation is done as follows: A horizontal cut is made with scissors through the conjunctiva and capsule of Tenon, beneath the lower border of the muscle, from the insertion of the tendon backward, to the extent of the shortening desired. Through this cut, two strabismus hooks are passed: one beneath the tendon at its insertion, the other beneath the muscle. By means of these hooks the muscle is lifted from the sclera. A needle is now passed through the conjunctiva and the up- per border of the tendon at its insertion, and is carried back beneath the muscle to a point chosen just in advance of the second hook, where it is made to penetrate the muscle near its upper border and the superposed capsule and conjunctiva. The needle was then made to reenter the puncture in the conjunctiva made by it in its exit, is directed downward be- tween the conjunctiva and the capsule, and is brought out through the incision in the conjunctiva. Then the lower bor- der of the muscle and capsule are seized with forceps, and this needle is made to penetrate them from without in, and is again brought out through the horizontal incision. The