File:Atlas and epitome of operative ophthalmology (1905) (14802467433).jpg

Identifier: atlasepitomeofop00haab (find matches)
Title: Atlas and epitome of operative ophthalmology
Year: 1905 (1900s)
Authors: Haab, O. (Otto), b. 1850 De Schweinitz, G. E. (George Edmund), 1858-1938
Subjects: Ophthalmologic Surgical Procedures
Publisher: Philadelphia, New York (etc.) : W.B. Saunders and company
Contributing Library: University of California Libraries
Digitizing Sponsor: Internet Archive

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have theassistant draw the lids apart. In that case the assistantshould cover the fingers that he uses for that purpose withsterile gauze, to enable him to get a firm grip of the lids.Unless his fingers are very slim, however, they are apt tobe in the way, and, as a rule, a properly handled lid-speculum is to be preferred. If the assistant is to hold the speculum in the way thatI have described he must pay attention to the followingpoints: He must not go too far in his effort to hold thespeculum away from the eye, to protect the organ frominjurious pressure by the eyelids when the patient shutshis eyes tightly, for fear of the instrument suddenly andentirely slipping out from under the lids, especially whenthe lids are rather long and flaccid, as such an accidentwould be followed by unpleasant consequences. .Again,during the delivery of the cataract, when slight pressureon the globe may under certain circumstances be desirable,he must relax his hold on the speculum, but not relinquish
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133 134 OPERATIONS ON THE EYE. it. In order to be able to do do all these things properlythe assistant who is charged with this duty must have afirm footing—for the work he has to do is of a most par-ticular kind. The second assistant, who stands by theside of the operator, hands him the instruments, takinggreat care to avoid contaminating any. If necessary, healso looks after the electric light; although it is better tohave this duty attended to by some one else. Finally,some one must hold the patients head, taking care, ofcourse, to keep his or her hands under the gauze covering. Instruments, sponges, dressing-material, etc., should belaid on a small operating table, close to the patients head.During the entire operation water should be boiling in theimmediate neighborhood, so that an instrument may beplunged into it at any time, if necessary ; for, in spite ofthe utmost precaution, it may happen to come in contactwith something outside of the sterile operative field andhave to be

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