It then turned its axis in such a way that the bowl the spoon tumed half and the part the back nearest its upper edge brought gently bear against the lower part the cornea. The custom thesis papers spoon thus held and exerting a steady pressure made glide along the lower edge the comea, giving an upward impulse the while, over the space about r. In consequence this the wound opens. and the upper edge the cataract buy paper online advances its margin.
Pressure with the spoon now made toward the centre the eye, but as the cataract emerges, more and more directly upwards, until, chasing the cataract before slides over the corneal surface, itself the while almost a tangent This manoeuvre must seen, fully understood and appreciated. I have given the account as nearly as possible in When the cataract has once presented itself at the edge the wound can assisted in its passage out, and when more than half has come through the rest can made follow directly buy custom paper laying hold with the spoon.
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It however, better resist the temptation remove in this manner, and follow step step, from the lower edge the cornea till the last particle has emerged. The leaving behind cortical substance may thus most It extreme importance, adds Graefe, keep pressing perpendicularly against the cornea until the cataract brought and into the wound, and then, and not till then, press upwards. If this direction disregarded, cortical substance very apt become detached and left behind.
When, in spite these precautions, cortical masses have remained behind, their removal must, if possible, effected in the same manner.
custom essay cheap Should they resist this, the fixation forceps and speculum must removed, and the patient left alone a short time, till the effects the anaesthetic have in part passed away, and a slight amount aqueous humor recollected. He must then directed look down, and gentle pressure and counter-pressure applied with the tips the fingers, through the lids, as in the case flap extraction, until the pupil We now come the very important subject after-treatment.
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We fortunately possess a short article Graefe's this point, written a few months before his death, and embodying all the results and deductions his ripened experience. It in substance as follows. And may well here observe that Graefe's inducement prepare was, in large part, the fact that his own cases cataract thus treated did much better than those other leading The edges the wound being well in contact, and all coagula removed from their vicinity, the eye gently closed, no atropine being now used.
The bandage applied in the manner described in the last lecture, a circular piece Boft linen bein first laid upon the eye, little tufts charpie then evenly distributed as fill the orbital cavity, and the flannel roller finally passed thrice around the head and thrice over the eye, each ascending fold overlapping its predecessor and being carefully adapted the equable support the entire surface the bulb. The charpie must selected and uniform.
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It must applied that the hand, passed over its surface, fails entirely appreciate the prominence the bulb, and that slight pressure upon causes no sensation pain.
For the object the bandage as you are well aware, hold the edg the wound in exact contact, and maintain the conjunctival flap in close apposition with the surface the sclera. If, now, follow the example many careless surgeons, and take only a single turn the roller over the eye, which chances exert more pressure the lower half the balb and the middle the cornea than the wound, shall get just the inverse what desire effect the wound will gape and the conjunctival flap raised. The other eye closed with isinglass Another capital mistake leaving the bandage undisturbed for several days, when no pain complained It should removed the evening the operation, and again the succeeding morning. After this may changed once in twenty-four hours. When the first change made, traces blood, tears, conjunctival secretion, possibly remains cortical substance, will found the patch linen ftext the eye and readily conceivable that such a mixture, if left undisturbed, might decompose and become a source infection the eye pay someone to write my research paper itself. Graefe advises, first removing the bandage, that the upper lid gently raised and a hasty glance taken at the lower part the cornea, the aid a single candle. He does not yet recommend the exposure the wound.
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