Volume 16 | Issue 3 Article 6

1954 Enucleation of the Carl Miller Iowa State College

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Recommended Citation Miller, Carl (1954) "Enucleation of the Eye," Iowa State University Veterinarian: Vol. 16 : Iss. 3 , Article 6. Available at: https://lib.dr.iastate.edu/iowastate_veterinarian/vol16/iss3/6

This Article is brought to you for free and open access by the Journals at Iowa State University Digital Repository. It has been accepted for inclusion in Iowa State University Veterinarian by an authorized editor of Iowa State University Digital Repository. For more information, please contact [email protected]. Forty-eight hours after the operation Enucleation of the Eye. On Jan. the two medial sutures were removed to 12] 15, 1954, a Hereford cow was ad­ facilitate removal of the gauze packing. mitted to Stange Memorial Clinic at A 1: 3,000 dilution of potassium per­ Iowa State College. The diagnosis was a manganate solution was used to irrigate carcinoma of the right eyeball, which was the eye socket. Sulfa-urea powder was to be removed. The operation was sched­ dusted into the cavity and three million uled for the next day. units of penicillin given intramuscularly. A beginning local inflammation was The animal was restrained on the oper­ treated with hot packs the third day after ating table, and the operative site pre­ the operation. Twenty-four hours later pared by clipping, washing thoroughly, defatting with ether, and disinfecting with the inflammation was still apparent. A third suture was removed to enable a 50 percent isopropyl alcohol. A local gloved finger to be inserted to remove anesthetic of 2 percent procaine was in­ the blood clots collected. Three million filtrated under the skin. Surgical anes­ units of penicillin and 3 Gm. of Strepto­ thesia was obtained by injecting approxi­ mycin were given intramuscularly. Hot mately 6 cc. of procaine in five different packs and irrigation were continued the places around the eye. A two-inch 18- following two days. On January 23, a gauge needle was used and was directed putrid odor was noticed before irrigation; toward the optic nerve in each instance. a sulfa-urea solution was used to irrigate For the operation, three sutures were the cavity. placed equidistant through both . Two days later drainage was being es­ The ends of all three sutures were left tablished. The socket was still quite ne­ six inches long and tied together to serve crotic. Pieces of clotted blood were re­ as a means of traction. An incision, ap­ moved with a finger, and the socket irri­ proximately % in. back from the edge of gated with a 1: 3,000 dilution of potassium the lids, was made through the skin permanganate. To prevent irritation around the eye. The incision was con­ from the inflammatory exudate the area tinued down to but not including the below the drainage was cleansed and . The incision was then di­ covered with petrolatum. rected lateral between the and the The animal was ready for discharge on conjunctiva toward the . At this January 27. The cavity was thoroughly point a scissors was used to complete the cleansed and two tubes of Combiotic blunt dissection down into the orbit. A ointment instilled into the socket. Petro­ detachable-bladed scalpel is not recom­ latum was applied on the area of drain­ mended for this due to the danger of los­ age and the patient discharged that after­ in'" the blade or breaking it; a straight I:> noon. scalpel can be used. Sufficient fatty tis­ The usual outcome is union of the eye­ sue is left to fill the cavity. The lateral lids. The remaining scar along the lids is muscles of the eye were transected at small with a small white dot of granula­ their attachment to the eyeball. Blunt tion tissue at the medial canthus. By dissection was continued until the eye leaving as much periocular fat as possible could be rotated freely. At this point the cavity will fill in well. only the retractor muscle and the optic nerve and vessels were still intact. These Carl Miller, '55 were severed down as far as possible with the scissors and the eyeball removed. The cavity was dusted with sulfathiazole powder and packed with sterile gauze. 3 Atony of the Urinary Bladder in Starting at the lateral canthus the lids 1 1 a St. Bernard. On Feb. 15, 1954, were closed with interrupted silk sutures. the cadaver of a 3-year-old female St. The two medial-most sutures secured the Bernard was admitted to Stange Me­ gauze pack. morial Clinic for diagnosis. There was a

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