Implantation of a gold ball for the better support of an artifical [i.e. artificial] eye / by L. Webster Fox.

  • Fox, Lawrance Webster, 1853-1931.
Date:
1902
Catalogue details

Licence: In copyright

Credit: Implantation of a gold ball for the better support of an artifical [i.e. artificial] eye / by L. Webster Fox. 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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    It is now six years since I implanted the first glass ball in a patient where the eye had been re- moved twelve years before. Eighteen months ago I devised the present method, which I can now safely recommend. If the operation is to be performed in the right orbit I carry out the details as follows: The eyelids are kept apart by a speculum, the conjunctiva is then grasped up and in above the inner canthus, and the tissues are well pulled out. I then pass a Beer’s knife or a curved keratome through the tis- sues, somewhat obliquely and well down into the Fig. 3. orbit; this opening must be made large enough to push the globe in the opening behind the tissues, conjunctiva, etc. (Fig. i). This starts the opening, which I enlarge with curved scissors, separating the tissues from the cellular tissues around the orbit, thus giving me a large pouch into which the globe can be inserted. I have discarded glass and silver balls and only use gold balls of ii, 12, 13, and 14 millimetres in diameter (Fig. 3). The gold ball is inserted through the opening and retained in place by a shell which I have modelled after an artificial eye, and which I call a “conform-