The American Encyclopedia And Dictionary of Ophthalmology volume 6

Cover The American Encyclopedia And Dictionary of Ophthalmology volume 6
The American Encyclopedia And Dictionary of Ophthalmology volume 6
Casey a Casey Albert Wood
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very flne suture, and a few fine sutures can be placed along the line of each flap, although not many, for the flaps are very delicate. None is required at the lid border. The handling of the narrow flaps is facilitated by placing the suture in the end of each before it is dis- sected off. Rubber tissue is placed over the wound and the usual moist dressing is applied.
The principle involved in Spencer Watson's method was followed by numerous operators, who make use of pedunculated flaps of skin
... or mucous membrane to fill in the gap after displacing the cilia border.
Nicati (Marseille Medicale, 1879, p. 99; also Archiv. D'Ophtal- mologie, 1883, p. 395) practised a method almost identical with that of Spencer Watson for partial trichiasis, applicable to cases in which the lashes are misplaced at the palpebral extremities. (See the figure). To this he gave the name "margino-plasty. " It is performed by splitting that portion of the lid border that is affected, making an ENTROPION (TRICHIASIS) 4355 incision parallel to the lid border in part of its course and then direct- ing it slightly upward to make a large base that will insure the viability of the flap.


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