1887BMJOpen access

The Operative Treatment of Trichiasis with or without Entropion, and a Short Note on Argyll Robertson's Operation for Ectropion

Arthur H. Benson

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Abstract

sary is to remove the affected tract ; that the sclerotic performs an entirely passive part, and may safely be left.Now, it seems to me very doubtful if we are justified in thus looking upon the sclerotic as a mere packing-case.It undergoes changes in cyclitis and posterior staphyloma.The vessels that supply i-s ciliary zone come from common trunks with those which supply the ciliary body, and they are dilated from the same causes.Can we conclude that a chronic inflammation, whose chief characteristic is its tendency to spread along certain lines, attacking the anterior segment of the uveal tract, will never invade the tissues over it, or that, having done so, will subside when the starting-point is removed?It is difficult to believe that the micro-organisms that have been found in the choroid, aqueous, and vitreous, of the exciting eye, may not also exist in the lymph-spaces around the dilated vessels of the sclerotic.It is true that in evisceration an attempt is made to render

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sary is to remove the affected tract ; that the sclerotic performs an entirely passive part, and may safely be left.Now, it seems to me very doubtful if we are justified in thus looking upon the sclerotic as a mere packing-case.It undergoes changes in cyclitis and posterior staphyloma.The vessels that supply i-s ciliary zone come from common trunks with those which supply the ciliary body, and they are dilated from the same causes.Can we conclude that a chronic inflammation, whose chief characteristic is its tendency to spread along certain lines, attacking the anterior segment of the uveal tract, will never invade the tissues over it, or that, having done so, will subside when the starting-point is removed?It is difficult to believe that the micro-organisms that have been found in the choroid, aqueous, and vitreous, of the exciting eye, may not also exist in the lymph-spaces around the dilated vessels of the sclerotic.It is true that in evisceration an attempt is made to render

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sary is to remove the affected tract ; that the sclerotic performs an entirely passive part, and may safely be left.Now, it seems to me very doubtful if we are justified in thus looking upon the sclerotic as a mere packing-case.It undergoes changes in cyclitis and posterior staphyloma.The vessels that supply i-s ciliary zone come from common trunks with those which supply the ciliary body, and they are dilated from the same causes.Can we conclude that a chronic inflammation, whose chief characteristic is its tendency to spread along certain lines, attacking the anterior segment of the uveal tract, will never invade the tissues over it, or that, having done so, will subside when the starting-point is removed?It is difficult to believe that the micro-organisms that have been found in the choroid, aqueous, and vitreous, of the exciting eye, may not also exist in the lymph-spaces around the dilated vessels of the sclerotic.It is true that in evisceration an attempt is made to render

Key concepts: Trichiasis, Entropion, Ectropion, Medicine, Miscellany, Ophthalmology, Art, Eyelid

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