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Annals of Ophthalmology, Vol. 8

Annals of Ophthalmology, Vol. 8

1800 руб.
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Excerpt from Annals of Ophthalmology, Vol. 8: January, 1899

Of these thirty-three cases, five were exotropias of low degree, and in three of these a tenotomy was performed upon the antagonistic muscle at the same time. The twenty eight remaining cases were instances of exophoria, ranging from six to twenty-five degrees, uncomplicated by any gross deviation in the vertical muscles. Although when measured in prism diopters, at the lapse of two years, the benefit which the patient received from the operation seems but trifling, the improvement in the symptoms was, how ever, very great, and whilst objectively but little was gained, subjectively, the results show that the operation was justified. The sensation of the eye rolling out which was frequently complained of, was controlled, and the sense of constriction about the forehead, and the diplopia which had manifested itself in reading, disappeared.

It has been urged against the operation that its cosmetic effect is bad, as it leaves small ridges in the conjunctiva over the insertion of the muscle. This is partially true, for such a fold of conjunctiva is present for some months after the Operation, but in none of my cases has it proven at all disfiguring at the end of a year, and after several years had elapsed it would require a trained eye in most instances to detect any change in the condition of the globe. In any event, the deformity is always less than that which is seen after the muscular advancement opera tion, and subsides much more quickly.

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