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ENUCLEATION AND COSMETIC REHABILITATION: Criteria for Evaluation of Current Procedures

ENUCLEATION AND COSMETIC REHABILITATION: Criteria for Evaluation of Current Procedures Abstract INTEREST in improvement of the cosmetic appearance of the patient after loss of an eye has resulted in the trial of a wide variety of reconstructive maneuvers. A clarification of the objectives of the operation may aid in the evaluation of current procedures. The conjunctiva should first be divided with a thin, sharp pointed knife and next all the muscles inserted into the globe; this being done, the point of the knife would be carried cautiously backwards to the posterior part of the orbit, and the optic nerve divided; the nerve will be more easily divided by directing the knife backwards into the orbit on the nasal side of the globe, as the optic nerve is situated nearer on this side. This quotation is from Cleoburey's1 original description of an enucleation, which was published in 1826. The operation differed little in the hands of many surgeons during the next References 1. Cleoburey, W.: A Review of Different Operations Performed on the Eyes , London, T. & G. Underwood, 1826. 2. Mules, P. H.: Tr. Ophth. Soc. U. Kingdom 5:200-206, 1885. 3. Lang, W.: Tr. Ophth. Soc. U. Kingdom 7:286-291, 1887. 4. Lang, W.: Tr. Ophth. Soc. U. Kingdom 7:286-291, 1887. 5. Burch, F. E.: Tr. Am. Ophth. Soc. 37:272-282, 1939 6. Am. J. Ophth. 23:47-51, 1940 7. Tr. Am. Acad. Ophth. 49:237-239, 1945. 8. Hughes, W. L.: Am. J. Ophth. 31:303-310, 1948. 9. Dimitry, T. J.: South. M. J. 10:594-600, 1917.Crossref 10. Huizinga, J G.: Eviscero-Neurotomy: A New Operation , J. A. M. A. 34:394-395 ( (Feb. 17) ) 1900.Crossref 11. Guyton, J. S.: Am. J. Ophth. 32:1517-1531, 1949 12. 32:1725-1734, 1949 13. 33:283-290, 1950. 14. Whitney, E. L., and Olson, J. A., cited by Guyton.8 15. Stone, W., Jr.: Preliminary Presentation at the Scientific Exhibit, Ninety-Sixth Annual Session, American Medical Association, Chicago, June 21-25, 1948. 16. Cutler, N. L.: Influence of Local Antiseptics on Regeneration of Corneal Epithelium of Rabbits , Arch. Ophth. 35:71-83 ( (Feb.) ) 1946.Crossref 17. Jardon, F., and Ruedemann. A. D.: Personal communication to the author. 18. Fralick, F. B.; McCotter, R. E., and Henderson, J. W.: Tr. Am. Acad. Ophth. 52: 1949. 19. Ellis, O. H.: Am. J. Ophth. 32:990-992, 1949. 20. McDowell, F.: Am. J. Ophth. 33:953-958, 1950. 21. Hoffman, L. G.: Description and Surgical Technique Using a Hoffman Inclusion Implant , Chicago, Mager & Gougelman, Inc., 1948. 22. Allen, J. H., and Allen, L.: A Buried Muscle Cone Implant: I. The Development of a Tunneled Hemispherical Type , Arch. Ophth. 43:879-890 ( (May) ) 1950.Crossref 23. Troutman, R. C.: Description and Surgical Technique Using an Integrated Magnetic Implant , Chicago, Mager & Gougelman, Inc., 1948. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Ophthalmology American Medical Association

ENUCLEATION AND COSMETIC REHABILITATION: Criteria for Evaluation of Current Procedures

CULLER, ARTHUR M.
A.M.A. Archives of Ophthalmology , Volume 45 (4) – Apr 1, 1951
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References (6)

Publisher
American Medical Association
Copyright
Copyright © 1951 American Medical Association. All Rights Reserved.
ISSN
0096-6339
DOI
10.1001/archopht.1951.01700010455011
Publisher site
See Article on Publisher Site

Abstract

Abstract INTEREST in improvement of the cosmetic appearance of the patient after loss of an eye has resulted in the trial of a wide variety of reconstructive maneuvers. A clarification of the objectives of the operation may aid in the evaluation of current procedures. The conjunctiva should first be divided with a thin, sharp pointed knife and next all the muscles inserted into the globe; this being done, the point of the knife would be carried cautiously backwards to the posterior part of the orbit, and the optic nerve divided; the nerve will be more easily divided by directing the knife backwards into the orbit on the nasal side of the globe, as the optic nerve is situated nearer on this side. This quotation is from Cleoburey's1 original description of an enucleation, which was published in 1826. The operation differed little in the hands of many surgeons during the next References 1. Cleoburey, W.: A Review of Different Operations Performed on the Eyes , London, T. & G. Underwood, 1826. 2. Mules, P. H.: Tr. Ophth. Soc. U. Kingdom 5:200-206, 1885. 3. Lang, W.: Tr. Ophth. Soc. U. Kingdom 7:286-291, 1887. 4. Lang, W.: Tr. Ophth. Soc. U. Kingdom 7:286-291, 1887. 5. Burch, F. E.: Tr. Am. Ophth. Soc. 37:272-282, 1939 6. Am. J. Ophth. 23:47-51, 1940 7. Tr. Am. Acad. Ophth. 49:237-239, 1945. 8. Hughes, W. L.: Am. J. Ophth. 31:303-310, 1948. 9. Dimitry, T. J.: South. M. J. 10:594-600, 1917.Crossref 10. Huizinga, J G.: Eviscero-Neurotomy: A New Operation , J. A. M. A. 34:394-395 ( (Feb. 17) ) 1900.Crossref 11. Guyton, J. S.: Am. J. Ophth. 32:1517-1531, 1949 12. 32:1725-1734, 1949 13. 33:283-290, 1950. 14. Whitney, E. L., and Olson, J. A., cited by Guyton.8 15. Stone, W., Jr.: Preliminary Presentation at the Scientific Exhibit, Ninety-Sixth Annual Session, American Medical Association, Chicago, June 21-25, 1948. 16. Cutler, N. L.: Influence of Local Antiseptics on Regeneration of Corneal Epithelium of Rabbits , Arch. Ophth. 35:71-83 ( (Feb.) ) 1946.Crossref 17. Jardon, F., and Ruedemann. A. D.: Personal communication to the author. 18. Fralick, F. B.; McCotter, R. E., and Henderson, J. W.: Tr. Am. Acad. Ophth. 52: 1949. 19. Ellis, O. H.: Am. J. Ophth. 32:990-992, 1949. 20. McDowell, F.: Am. J. Ophth. 33:953-958, 1950. 21. Hoffman, L. G.: Description and Surgical Technique Using a Hoffman Inclusion Implant , Chicago, Mager & Gougelman, Inc., 1948. 22. Allen, J. H., and Allen, L.: A Buried Muscle Cone Implant: I. The Development of a Tunneled Hemispherical Type , Arch. Ophth. 43:879-890 ( (May) ) 1950.Crossref 23. Troutman, R. C.: Description and Surgical Technique Using an Integrated Magnetic Implant , Chicago, Mager & Gougelman, Inc., 1948.

Journal

A.M.A. Archives of Ophthalmology – American Medical Association

Published: Apr 1, 1951

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