The radical treatment of lacrimonasal disease by rapid dilatation and allied measures / S. Lewis Ziegler.

  • Ziegler, S. Lewis (Samuel Lewis), 1861-1926.
Date:
1910
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Licence: In copyright

Credit: The radical treatment of lacrimonasal disease by rapid dilatation and allied measures / S. Lewis Ziegler. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Having the friction and corneal erosion caused by the tarsal pressure of blepharophimosis. Each one of these procedures thus supplements the other. ALLIED MEASURES While rapid dilatation is invaluable in cases of acute dacryocystitis, 'mucocele, persistent blennorrhea, sup- puration, abscess and fistula, certain auxiliary measures may also be necessary. Irrigation, incision, stricturot- omy and the insertion of styles or medicated bougies are often indicated to meet the requirements of the symptom-complex which these cases present. Irrigation may be practiced either before or after rapid dilatation. The injection of an astringent or anti- septic solution is always a valuable cleansing adjuvant and often a curative agent. I have devised an all-glass lacrimal syringe (Fig.. 3) for this purpose, which is pro- vided with four cannulas; a small gold cannula for introduction into the punctum; a platino-iridium hypo- dermic needle for local anesthesia; a Tansley cannula with lateral perforations and closed end ; and the ordi- nary Anel or De Wecker cannula. Schwenk secures good results by injecting liquid petrolatum into the tear-duct once or twice a week and allowing it to remain until absorbed. Following the method of treating fistulous tracts by the use of bismuth- petrolatum paste, introduced by Beck,6 of Chicago, I have been injecting his formula modified as follows: B Formalin 1/2 part Alypin 1 part Antipyrin 2 parts Paraffin 5 parts White wax 5 parts Bismuth subnitrate 25 parts Petrolatum, enough to make 100 parts Mix anti make antiseptic paste. This paste can be heated and injected into the tear- duct with the glass lacrimal syringe, in a fluid state, taking care that it shall not be forced through into the nose, and applying a small ice-bag in order to quickly harden it, in situ. If preferred, the compound may be 0. Beck, E. G. : Fistulous Tracts, Tuberculous Sinuses and Abscess Cavities: A New Method of Treatment by Bismuth Taste. The Journal A. M. A., March 14. 100S, p. SG8.