New Instrument for Congenital Fissure of the Soft Palate

C. H. Stearns
1845 Boston Medical and Surgical Journal  
kept it still. With a sharp-pointed scalpel the lid was divided from the globe, the assistant separating them as divided. The edge of the knife was kept towards the lid, which was dissected clean until it was wholly separated from the globe. There was then on the globe a loose, cellular, fleshy substance, which was removed by taking hold of it with a pair of small forceps and cutting it off with the knife, until all that could be raised with the forceps was removed-leaving a part of the globe
more » ... part of the globe still covered by a red fleshy substance, which was very vascular, bleeding quite freely. The scalpel was then drawn across its edge, touching the fleshy substance lightly, and this was repeated until the whole was scraped off, leaving the globe of the eye perfectly natural in its appearance. In the case of adhesion of the lid to the globe of the eye, I have seen the operation performed by simply dividing the lid from the globe-but it wholly failed, the divided parts again uniting. I was therefore very careful to remove or destroy all the former bond of union. I then, with a blunt probe, passed a piece of very fine linen, dipped in a weak solution of sac. sat., between the divided globe and eyelid, bound up the eye so as to prevent any motion of it, and directed an antiphlogistic course. The linen was kept in the eye one day, and in about ten days the cure was complete, without any further trouble.
doi:10.1056/nejm184508270330404 fatcat:ichitwc6vvhabktmyyj2pbeipm