The American Encyclopedia And Dictionary of Ophthalmology volume 9

Cover The American Encyclopedia And Dictionary of Ophthalmology volume 9
The American Encyclopedia And Dictionary of Ophthalmology volume 9
Casey a Casey Albert Wood
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170, Vol. 32) hook is an ingenious instrument for outlining and determining the exact locality of the sac. It is shaped like a strahismus hook and has a second movahle branch. The closed hook is pushed into the sac, through the upper canaliculus, M'hich has been previously slit. By pushing at the end of the handle, the prongs separate and their extremities can be easily felt and serve as guides to the incision, which is made and carried 1 mm. Above the internal palpebral ligament. The sac is se...parated from the adjacent tissue and a silk ligature passed at the nasal end of the sac and the hook is withdrawn.
Stevenson's Lacrimal Clamp. For use in excision of the lacrimal sac.
Seidel has devised a new method of local anesthesia for extirpation of the lacrimal sac, insuring complete anesthesia and anemia without any edema ol' the operative fidd. The principal dilfercnce from infil- tration anesthesia lies in tiic fact that the field of operation is not anesthetized but the conduction of the sensitive^ nerves of the tear sac is intercepted, viz..


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