This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1907 Excerpt: ...was brought about. For these reasons, and when it was necessary for the child to pass from under observation, he has resorted to the slight operative measures required. Donald Gunn has reported a scries of cases in which lacrimal abscess occurred, and one in which the mucocele, after having persisted for two years, was cured by a single passage of the probe. Jocqs10 would endeavor to hasten the opening of the duct into the nose by the forcible injection of fluid. Weeks,11 while urg 7. Helnemann: Deutsche Med. Wochenschr., January 20. 1903. 8. Cutler: Archives of Ophthalmology, May, 1903, p. 289. 0. Donald Gunn: Ophthalmic Review, February. 1900. 10. Jocqs: La Cllnlque d'Ophtalmologie. May 10, 1899. 11. Weeks: Jour. American Medical Association, Dec. 10, 1904. ing simple cleansing of the conjunctival sac and protection of the parts until Nature has had a fair opportunity to establish a passage, holds that if this has not occurred at the end of two months, slight slitting of the canaliculus and the passage of a small Bowman probe should be resorted to. I would not limit to two months, or even six months, the period in which it is proper to try milder measures, provided the symptoms are controlled by such treatment. In cases of severe abscess radical treatment must be resorted to. The best I believe is to open directly through the skin into the sac and to pass the probe (5 or 6 Bowman) through this opening into and through the duct. If drainage be once established into the nose no lacrimal fistula will result, and the canaliculi will be left absolutely normal. If, from long continuance of the obstruction or for other reasons, probing is to be resorted to, when the dacryocystitis is not very severe, the punctum may be slit, and the probe introduced through the ...
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