An operation for trichiasis due to cicatricial entropion / by W. Odillo Maher.

  • Maher, William Odillo, 1858-1916.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: An operation for trichiasis due to cicatricial entropion / by W. Odillo Maher. 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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    AN OPERATION FOR TRICHIASIS DUE TO CI- CATRICIAL ENTROPION.1 By W. ODILLO MAHER, M.D., HONORARY OPHTHALMIC SURGEON TO THE SYDNEY HOSPITAL AND ST. VINCENT’S HOSPITAL SYDNEY, N.S.WALES. AN operation I have found give the most satisfactory results in cases of trichiasis and districhiasis, due to cicatricial entropion, consists in thoroughly dividing the tarsal cartilage from the under surface of the lid from end to end at about two and a half millimetres from its free edge, as in a Burow, and fixing with sutures between the edges of the divided cartilage a piece of mucous membrane the length of the tarsal cartilage and about two or three millimetres broad. I perform the operation in the following manner: Standing behind the patient, who is anaesthetized, I evert the lid, and make a puncture with a Beers knife through the tarsal cartilage, at the outer canthus if operating on the right lid, and at the inner canthus if operating on the left, and divide the cartilage and all structures of the lid to the skin from end to end, parallel with and about two and a half millimetres from its free edge, with a straight, blunt-pointed scissors, by passing one blade through the puncture, and subcutaneously along the length of the cartilage. The lower lip is now clamped with a Snellen entropion clamp to pre- vent hemorrhage, and a flap of mucous membrane the length of the incision in the cartilage, and from two to three millimetres broad, is marked out by two parallel cuts with 1 A paper read before a meeting of the N. S. Wales branch of the British Medical Association, at which cases were shown. Reprinted from the Archives of Ophthalmology, Vol. xxvi., No. 3, 1897.