"The operation of inversion of the eyelids according to the method of prof. V. P. Ivanov"

Speaking about trachoma, it is impossible not to talk about the complications that it causes, because trachoma is terrible not so much by itself as by its complications. Among the complications of trachoma, the most common, apparently, are inversions and trichiasis. For 11,815 primary patients who passed through the outpatient clinic of the Kazan Trachomatous Institute in 1928, there were 1,926 people who were trachomatous, 317 of them with complications, i.e. 16.5%. According to Relman -) inversions complicate trachoma in the II-th stage in 30%, in the III-th in 50%, and according to the material of our Institute, there were 312 people (i.e. 42%) with a twist for 743 people diagnosed with trachoma III. This complication is very painful for the patient, because wrapped eyelashes rub against the eye and give a feeling of a foreign body. Without treatment, the inversion, causing pannous keratitis with subsequent opacity of the cornea, often leads to incurable blindness, which is why the inquisitive thought of optometrists gives so much time and energy to finding new ways to radically eliminate this complication. Back in the 16th century BC, the Egyptians proposed to treat the inversion of the eyelids with resets to the eye by pulling them out and applying a composition of myrtle, echidna blood and bat. The Indian Brahmin caste has been treating the inversion for many centuries before our era, cutting out strips of skin in the lower third of the upper eyelid and stitching the wound with hair sutures, and if this did not help, they burned out the bulbs of eyelashes , ). Without wanting to load our brief note with a stream of dates and names, we will not mention the numerous old and new, sometimes very ingenious ways that various authors have proposed at different times to quickly eliminate the inversion. Let us note only one thing, that a number of new operations, which we read about without exaggeration in almost every new volume of our special literature, serve as an indicator that existing operations do not fully satisfy oculists, and this same fact is an excellent illustration of the idea expressed by Prof. At a meeting of the Moscow Institute of Eye Doctors back in 1925, Odintsov said that with trichiasis "there is not a single completely satisfactory operation... that would radically eliminate changes, guarantee against relapses and give a perfect cosmetic effect"). The abundance of new operations, so generously offered to the overloaded practitioner, sometimes make them forget the old proven methods. So to say, to restore, to remind our workmates about one of these undeservedly forgotten ways of promptly eliminating trichiazama, we would like to use this brief note.