Abstract
Every neat operator takes pride in delivering an enucleated eye-ball as clean as a peeled onion, but now and then conditions arise which make this result exceedingly difficult, if not entirely impossible. Among the circumstances interfering with neat work are: 1. Venous stasis and edematous infiltration of the integuments of the lids.—The lower cul-de-sac is then almost effaced and does not hold a speculum, eversion of the inferior lid allowing the wire to slip. A Desmarres retractor is equally unsatisfactory, while a sharp tenaculum is apt to inflict damage. In such cases I have worked with the greatest convenience with the help of sufficiently stout suture threads. One is passed through the upper lid and another through the lower about 3 millimeters from the free border and near the center of the palpebral fissure. The ends of each suture are then tied, both to prevent slipping out and to afford
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