EyeRounds Online Atlas of Ophthalmology

Contributor: William Charles Caccamise, Sr, MD, Retired Clinical Assistant Professor of Ophthalmology, University of Rochester School of Medicine and Dentistry

*Dr. Caccamise has very generously shared his images of patients taken while operating during the "eye season" in rural India as well as those from his private practice during the 1960's and 1970's. Many of his images are significant for their historical perspective and for techniques and conditions seen in settings in undeveloped areas.

Category: Oculoplastics

Post-operative Ziegler cautery procedure for spastic entropion

During a good part of the 20th century, the Ziegler cautery operation for spastic entropion was popular. This patient was photographed shortly after the procedure had been completed. Under local anesthesia, a Hyfrecator needle is inserted through the skin into the orbicularis oculi and the current is applied. This is done in a series of applications along the length of the lid a few mms from the lid margin. The immediate effect is excellent. However, some surgeons felt that the effect was too frequently shortlived.

Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.