Excerpt from The Ophthalmoscope, Vol. 3: A Monthly Rew of Current Ophthalmology; 1st December 1905
With the eye things are rather different. It is impossible at any time to render the conjunctival sac absolutely aseptic, and if this were accomplished, and the integrity of the eye at the same time retained, there would still be a direct communication with the nose by means of the cius and nasal duct, which would be a grave source of re - infection. In this way the ophthalmic surgeon is at a disadvantage, and is often accused of being careless in the rules he observes and the precautions he practises. Thus, we see most scrupulous attention paid by the general surgeon, not only to purifying his hands, putting on rubber gloves, etc., but even to having sterilised ture - tubes inoated from his hands, in order to see if any organisms still survive the severe treatment to which they have been subjected. His clothes are also completely covered with a sterilized garment, and with the field of operation surrounded by similar things, it is almost impossible for him to re-infect his hands once they are rendered aseptic.
It is comparatively seldom that such elaborate precautions are taken by the ophthalmic surgeon, and it is indeed diffit to say what good would result if he did. It certainly is well to eliminate all possible sources of infection, and to avoid every appearance of evil however, considering the fact that the surgeon's fingers are never used in an intraoar operation, except in the way of holding the handle of an instrument, or when handling needles or sutures, it can make but little difference to the eye whether he has gone to the full length of the extensive sterilization of his hands that are so essential for the success of a general surgical operation, where the hands are, perhaps, in direct contact with the wound.
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