[Results of systematic utilization of cyclonamine as preventive therapy and as postoperative treatment of hemorrhage in ocular surgery].
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Biomedical subjects
Publications and source records attributed to G Cornand.
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Trachomatous tarsitis is characterized by personal criteria the development of a fibrous and retractile scar tissue inducing cirrhosis with static and hemodynamic changes of the eye lid: lesions of the ciliary stratum, entropion and trichiasis which in their turn give a range of conjunctivocorneal complications, the ultimate stage being xerosis and blindness. To avoid this kind of evolution some easy surgical technics are available. The option between them is mainly oriented by personal criteria and the following pattern may be proposed: -- For upper lid, in regard to degree of tarsis hypertrophy, either Trabut's tarsotomy, or Streatfield-Snellen's tarsectomy, or a joint intervention of Cuenod and Nataf, might be selected. -- For lower lid and in children, the Trabut's transconjunctival tarsotomy is recommended. -- In relapsing cases and when trichiasis prevails over entropion, Van Millingen's marginoplasty will give satisfactory results.
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The Haik fornix conjonctival flap has been described before the second world war, in order to protect cornea with conjonctiva without cutting the latter as in the classic conjonctival flap. This operation requires only a limited number of instruments and no special ophtalmologic training for the operator. The main indications are: -- keratitis caused by lagophtalmia; -- neurophtalmic keratitis; -- ulcerous keratitis and specially the meta-herpetic ones; -- necessity of a protection before a sanitary evacuation in penetrating wounds of the ocular globe.