Abstract
Abstract It was Bartisch1 who introduced the medieval and Arlt2 the modern method of exenteration of the orbit. To overcome this dreadful deformity, Axenfeld3 suggested the operation in which the conjunctiva, lids and hair lines are preserved. Later the conjunctiva and lids are sutured. Other surgeons, Küster,4 Busache,5 Rollet,6 G. Worms7 and Romano Catania,8 used mucous membrane grafts, skin flaps, Thiersch grafts and sliding skin flaps to obviate the deformity without the introduction of a prosthesis. Few surgeons, however, have attempted to correct this deformity so that an artificial eye could be worn. Pólya9 conceived the idea of introducing artificial bone into the orbital cavity and suturing the lids over it. In this manner a support is obtained for a prosthesis. Probably the best known procedure is the operation devised by Golovine,10 in References 1. Bartisch, Georg: Ophthalmodouleia , Dresden, M. Stökel, 1583, chap. 3, p. 208. 2. Arlt: Operationslehre , in von Graefe, A., and Saemisch, E. T.: Handbuch der gesamten Augenheilkunde , ed. 1, Leipzig, Wilhelm Engelmann, 1874, vol. 111, p. 434. 3. Axenfeld: Ueber plastischen Verschluss der Orbita , Verhandl. d. Gesellsch. deutsch. Naturf. u. Aerzte 2:301, 1904. 4. Küster: Die Deckung der Augenhöhle nach Ausräumung derselben , Centralbl. f. Chir. 17:25, 1890. 5. Busache: Come si debba coprire la cavità orbitaria dopo averla suturata , Riforma med. 4:467, 1894. 6. Rollet: Occlusion de l'orbite et suppression des paupières , Rev. gén. d'opht. 27:289 ( (July) ) 1908. 7. Worms, G.: Bull. Soc. d'opht. de Paris , (June) 1932, p. 358. 8. Romano-Catania, A.: Un nuovo processo di plastica per la copertura della cavità orbitaria nella exenteratio orbitae , Arch. di ottal. 1:209, 1893. 9. Pólya, S. J.: Szemeszet , no. (4) , 1904 10. abstr., Michel's Jahresb. , 1904, p. 367. 11. Golovine: Procédé de clôture plastique de l'orbite après l'exentération , Arch. d'opht. 18:679 ( (Nov.) ) 1898. 12. Wheeler: Restoration of the Margin and Neighboring Portion of the Eyelid by Free Graft from Lower Part of Eyebrow and Skin Directly Below It , J. A. M. A. 75:1055 ( (Oct. 16) ) 1920.Crossref
Journal
Archives of Ophthalmology
– American Medical Association
Published: Sep 1, 1936