Technique of Eye DissectionsWoll, Frederic A. (Frederic Albert)
Science
Technique of Eye Dissections
Woll, Frederic A. (Frederic Albert)
Dissection; Eye -- Surgery
After the lacrimal gland has been dissected away, a beginning will have
been made for cutting away the fat and the connective tissue. The first
thing to do then is to locate the superior oblique muscle. Try to keep
track of which part of the eye is the inner side. Having located the
inner side, feel along the top for a little hard eminence. That is the
pulley. Begin to dissect around the pulley, not through it, and then
follow the muscle along to its origin; do not separate the muscle from
its origin. When the superior oblique is completely freed, the action of
the muscle may be readily demonstrated by holding the “ring” or
tendinous pulley with the fingers of one hand, while the muscle is
pulled backward and forward with the other.
THE OTHER EXTRINSIC MUSCLES
With the dissection of Tenon’s capsule and the superior oblique muscle,
the work of isolating the other extrinsic muscles will have begun. This
work needs no directions except a warning to be careful not to injure
the pulley of the superior oblique, and to be careful not to cut away
the inferior oblique. The inferior oblique will be found to be near the
“pulley.” If the dissection is not carried too close to the origin of
the recti muscles, all the muscles may be kept in place.
If the eye has not been previously subjected to the hardening influence
of formaldehyde, it may be put into a 5 per cent. solution, and at the
end of ten or twelve hours the muscles will have become rigid. They can
then be better studied, and may be kept indefinitely. (Fig. 60.)
[Illustration: Fig. 60--Showing the tendinous pulley of the superior
oblique muscle and the extrinsic muscles.]
THE THREE TUNICS OF THE EYE, THE HYALOID AND ITS ATTACHMENTS
This dissection is a rather difficult one to make, and requires
patience.
[Illustration: Fig. 61--Cutting through the iris.]
Prepare an eye by placing it in a 5 per cent. solution of formaldehyde
for about ten days to two weeks. Remove all the outside tissues. Cut
away the cornea, as in the dissection for the choroid or the retina.
Loosen, as far back as possible, the sclerotic from the choroid. Remove
the sclerotic for about 10 mm. back of the equator of the eye. With the
tweezers pick up the pupillary edge of the iris. Using the small pointed
scissors, cut through the iris. (Fig. 61.) Lift either one of the cut
edges of the iris, and, with the sharp edge of the scalpel, gently
scrape the _processus zonuloe_ free from the ciliary processes, cutting
through the ciliary ring as the ciliary processes are detached from the
hyaloid (_processus zonuloe_). (Fig. 62.)
[Illustration: Fig. 62--Scraping the ciliary processes free. Showing,
also, the choroid cut around the ciliary ring.]
Great care must be taken not to thrust the point of the scissors into
the hyaloid, suspensory ligament, or vitreous, else the lens may become
detached.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account