Text book of veterinary medicine, Volume 3 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 3 (of 5)
Law, James
Veterinary medicine
Clean incised wounds are rare, while lacerations with or without
contusions are the common experience. The laceration often extends
through the free margin of the lid, and then to one side, mostly the
outer, in a direction more or less parallel to the tarsus. The result is
that the detached flap drops downward exposing a greater or less portion
of the bulb covered with blood. The conjunctiva, the cornea, the
sclerotic or iris may be implicated in the lesion in different cases, so
that such wounds are of the most varied degree of gravity. If, however,
the lesion is confined to the lid, and in the absence of absolute
detachment of the flap, or severe contusion, a good repair may be
confidently hoped for. The vascularity and reparatory powers of the
eyelid are unusually great, and the looseness of the skin, connective
tissue, mucosa, and even the muscles is such that they do not draw
injuriously upon the edges of the wound to disturb the process of
cicatrization. If the two opposing ends of the divided tarsal cartilage
are kept in accurate opposition, the elasticity of his structure serves
to preserve the even contour of the palpebral margin, and the adhesion
or granulation process between the edges of the wound, soon becomes firm
enough to prevent further displacement. Even when one-half of the eyelid
is torn loose, remaining attached only by a narrow portion, reunion
without any unsightly distortion is not to be despaired of. In case of a
mere vertical laceration on the other hand, the case is very simple and
hopeful. Even when a portion of a lid has been completely torn off and
lost, the loose textures of the remaining part, often appear to stretch
in the process of healing so that a fairly serviceable, though by no
means an æsthetic covering for the eye may remain. This may serve for a
common work horse, but the unsightliness would necessarily debar him
from use in a carriage or as a saddle horse. The imperfect protection
too, exposes the eye to rainstorms, hail and snow, as well as to dust,
and greatly predisposes to conjunctivitis.
_Treatment._ One can trust implicitly to the extraordinary reparatory
power of the eyelids, yet so unsightly is any distortion of these parts,
that the greatest pains must be taken to obviate loss of substance, or
unevenness or puckering in healing. The points to be mainly sought for
are the perfect coaptation of the divided edges, and the restraining of
the patient from interrupting the healing process and breaking loose the
forming adhesions, by rubbing the eye.
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