Implantation of fat into Tenon's capsule after enucleation / by Walter Baer Weidler.

  • Weidler, Walter Baer.
Date:
[1912]
Catalogue details

Licence: In copyright

Credit: Implantation of fat into Tenon's capsule after enucleation / by Walter Baer Weidler. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    Reprinted from the New York Medical Journal for November 2, 1912. IMPLANTATION OF FAT INTO TENON'S CAPSULE AFTER ENUCLEATION.* By Walter Baer Weidler, M. D., New York. It should be the first thought and aim of every surgeon, in such operations as the removal of the eye or the amputation of the leg, to secure a good, healthy, and useful stump, in order that the deform- ity and defect shall be as slight as possible, and also that the after results shall be such that the patient does not feel embarrassed or inconvenienced through the loss of the member. With rhese thoughts in mind, and with the pro- gress that has been made in surgery, the ophthalmic surgeon has for the past twenty-five years tried many forms of enucleation and implantation into Tenon's capsule and the orbital tissues, of different materials, with the hope of securing a more freely movable stump for a glass eye. So far these efforts have been successful to a moderate degree only. Before this time it was thought sufficient if the oph- thalmic surgeon removed the diseased or disfiguring eye without giving any special thought to the after appearances or the movements of the artificial eye. It was de Wecker who first suggested a simple pro- cedure as an improvement upon the mere removal of the eye. He sutured ,the conjunctiva, the cap- sule of Tenon, and the tendons of the muscles to- gether with a purse string suture and after the eye was enucleated, this suture was tightened and all .°tnln I-J^'a ^'2-^^* ^°§^^ther to form a stump. Since his first efforts to improve the orbital been devised. Copyright, 1912. by A. R. Elliott Publishing Company.