A manual of surgery founded upon the principles and practice lately taught by Astley Cooper and Joseph Henry Green / ed. by Thomas Castle.

  • Castle, Thomas, 1804?-1840?
Date:
1839
Catalogue details

Licence: Public Domain Mark

Credit: A manual of surgery founded upon the principles and practice lately taught by Astley Cooper and Joseph Henry Green / ed. by Thomas Castle. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    7. In the treatment of entropium, nothing vriW be of any use except cutting a'WB.y a piece of skin from the affected lid ; for when this is done, the edges of the -wound are brought together by strips of adhesive plaster ; a cicatrix is formed, and the eyelids are then drawn outu-ards. The mode of performing the operation is very simple ; you must lift a por- tion of the skin of the aiFected lid with a pair of forceps that have, towards the poiut, transverse branches, and which are grooved j with this you lay firm hold of the portion of the lid, and all you have to do is, to take a pair of curved scissors, and cut off the projecting portion, as near to the edge of the lid as you can. ECTROPIUM. 8. Ectropium, or eversion of the lids, happens from ul- ceration on their edges ; an altered and vitiated secretion from the follicles of Meibomius, which produces a redness and an altered state of the conjunctiva ; and from cicatri- ces and contractions of the skin of the lids,, v;hich tend to evert them. This complaint is very distressing to the patient ; the eye has DOt its nat- ural covering; irritation, from extraneous bodies getting into it, is produced, and thus a constant state of chronic ophthalmia is kept up. 9. The plan usually adopted for the relief of this com- plaint consists in removing the triangular portion of the lid, just in the same way as the operation for cancer of the lip is performed. This is done by cutting through a piece of the lid, which is raised by a pair of forceps, so that the base shall be towards the edge of the lid, and the apex below, at the union of the two sides, A suture is applied through the incision, the edges of the wound are brought together ; these united, tend to keep the lid in the natural position; and, in fact, the operation, iu this way, is often successful. Where the disease is brought on by a thickened state of the conjunctiva Jining the lid, you must remove that portion ; if from a cicatrix, it must be divided; but it will be proper to state that this seldom answers, the divided cicatrix re-contracts, and the disea-^e returns.