File:The student's guide to diseases of the eye (1884) (14778763582).jpg

Identifier: studentsguidetod1884nett (find matches)
Title: The student's guide to diseases of the eye
Year: 1884 (1880s)
Authors: Nettleship, Edward, 1845-1913
Subjects: Eye Color blindness Ophthalmology Ophthalmology Eye Diseases Color Perception Color Vision Defects
Publisher: London : J. & A. Churchill
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
d, are then seized by a finger and thumb of the otherhand, and turned up over the probe, which is simul-taneously pushed down. After a little practice theprobe can be dispensed with, and the lid everted bythe forefinger and thumb of one hand alone, oneserving to fix and depress the lid, the other to turnit upwards. 3. Removal of Meibomian cyst.—Position as for 1.Instruments: a small scalpel or Beers knife (Fig. Fig. 115.—Meibomian scoop. 147) and a curette, or small scoop (Fig. 115, and 143).(1) Evert the lid; (2) make a free crucial incisioninto the tumour from the conjunctival surface; (3)remove the growth either by squeezing the lid be-tween finger- and thumb-nail, or by means of the 21 322 OPERATIONS scoop. The cavity fills with blood, and may thus fora few days be larger than before. These tumourshave no distinct cyst-wall. 4. Inspection of cornea in purulent ophthalmia, &c.Position: if the patient be a baby or child, the backof its head is to be held between the surgeons
Text Appearing After Image:
Fig. 116.—Desmarres lid elevator. knees, its body and legs being on the nurses lap; ifan adult, the same as for 1. If the lids cannot be easily separated by a fingerof each hand, enough to allowa view of the cornea, retrac-tors should be used (a con-venient pattern is shown inPig. 116), by which one lid,or both, can be raised andheld away from the globe.If this instrument be gentlyused we avoid all risk ofcausing perforation of thecornea should a deep ulcer bepresent; an accident whichmay happen in cases attendedby much swelling or spasmof the lids if the fingers areused. 5. Entropion.—Spasmodic entropion of the lower lid,with relaxed skin, in old people. Position as for 1.Instruments:—T forceps (Fig. 117), scissors (Pig.128), toothed forceps. (1.) With the T forcepspinch up a fold of skin as close as possible to theedge of the lid, and of width proportionate to the

Note About Images