Technique of Eye DissectionsWoll, Frederic A. (Frederic Albert)
Science
Technique of Eye Dissections
Woll, Frederic A. (Frederic Albert)
Dissection; Eye -- Surgery
Be supplied with two knitting-needles. Take one, lubricate its full
length with a little vaseline, lard, oil, or any other lubricant. Insert
the needle into the punctum of the lower lid, and push it downward and
forward, aiming to come out in the nose a short distance from its end.
At first it may be a little difficult to get the needle started; if so,
just wiggle the needle, pushing it at the same time as directed, until
the nasal duct is found. Do not remove the needle. To insert the other
needle into the punctum of the upper lid is rather difficult; for that
reason the punctum of the lower lid was chosen, first. Grease the
needle, as was done to the first one, and, with a little patience and
careful manipulation, the canal opening and its course will soon be
found. The needle may then be pushed through until it meets the first
one. (Fig. 45.) From the puncta lacrimalia to the place of meeting of
the two needles, marks the course of the two canaliculi and their
junction before they merge and form the nasal duct. Leave the needles
where they are, and begin cutting away the skin. The needles will then
mark the course of each canal and the duct very plainly. With the small
scissors the canals and the duct may be loosened from the surrounding
tissues. Or, the scalpel may be used to lay open the canals, cutting
along over the top of the needles. (Fig. 46.)
The cilia, palpebræ, palpebral conjunctiva, ocular conjunctiva, and
other superficial ocular accessories may be examined without
dissection.
MEIBOMIAN GLANDS AND DUCTS
An examination of the eyelids will show the openings of the ducts of the
meibomian glands a short distance back of the cilia. Very fine pins or
needles that have been greased may be easily inserted for a short
distance into the ducts, and then a dissection made along the course of
the duct as outlined by the presence of the inserted pins or needles.
Another way to see the glands is to slice through the ducts, with the
scalpel or safety-razor blade, the entire width of either eyelid. This
will separate the glands into two parts and show their length, breadth
and structure.
ENUCLEATION OF THE ORBITAL CONTENTS
The eyes one procures from a butcher or a slaughter house will always
have the extrinsic tissues so badly cut and torn that identification of
the various parts and their relations is impossible. Therefore, it is
best to supply one’s self with the head of an animal, such as a sheep or
a calf, and dissect an eye with all its extrinsic tissues intact. For
this dissection, a hammer and a chisel are necessary in addition to the
tools needed for doing the previous dissections.
[Illustration: Fig. 47--Showing method of making the initial cuts in the
skin. (Page 97.)]
[Illustration: Fig. 48--Part of calf’s head, showing the first cut to be
made in the bones of the orbit. (Page 102.)]
[Illustration: Fig. 49--Showing all the cuts to be made through the
bones of the orbit. (Page 102.)]
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