Select an eye that has had a long part of the optic nerve left on it and place it into a 5 per cent. solution of formaldehyde. Leave it in that solution for from two to three weeks. That period of time in the fluid will be sufficient to permit the choroid to become sufficiently toughened and hardened. Leaving it in the solution longer than that length of time will not injure the eye in any way.

After having removed the eye from the formaldehyde, wash it for a few moments in running water. This will remove the preserving and hardening fluid from the surface, and will save the hands a little from the effects of the fluid. Next remove all the muscles and fatty tissues from the sclerotic. After that has been done, puncture the cornea with the pointed jaw of the scissors about 2 mm. from the corneo-scleral junction. (Fig. 22.) Then proceed to cut the cornea away, being careful not to lacerate the choroid or the iris. (Fig. 23.) The escaping aqueous humor will flow over the eye and make it very slippery, and, therefore, difficult to hold. Dip the eye in water, wash it, and then take it out and thoroughly dry it with a cloth. This procedure is absolutely necessary, and, if omitted, will surely result in the dropping of the eye about the time the work on the specimen is nearly finished. Insert the scalpel between the peripheral edge of the exposed iris and what is left of the cornea. With the back edge of the scalpel, gently loosen the choroid from the inner side of the corneo-scleral junction to which part it is not securely attached. (Fig. 24.) This requires only ordinary care, and but little skill other than that necessary to always keep the scalpel close to the inner surface of the sclerotic. When the choroid-iris edge has been detached from the inner side of the corneo-scleral junction, the weight of the contents of the second tunic will cause it to sag and give opportunity to easily separate, with the back edge of the scalpel, the choroid from the sclerotic for about a distance of from 8 to 10 mm.

It has been the method in the past to force water through a blowpipe between the sclerotic and the choroid, in order to separate the attachments. It has also been the method to work under water when wishing to expose or isolate either the choroid or the retina. It is unnecessary to do either of these two things.

When the sclerotic has been loosened from the choroid for about 10 mm. back from its cut edge around the eye, carefully cut the loosened part away. (Fig. 25.) Then loosen the choroid as far back as to within 1 cm. of the optic nerve. Cut the separated sclerotic away. It will be well to state here that during this dissection the specimen should not be lifted from the table. Keep the eye resting on the table all the time, and never lift it by holding it suspended from the optic nerve. Loosening the choroid from the sclerotic up to this point is a very easy matter; ordinary precaution is all that is necessary to prevent puncturing the choroid with the scalpel, just be sure to remember to keep the point of the scalpel close to the sclerotic.

To remove the remaining part of the first coat is a little more difficult, and needs a little more care. Hold the optic nerve in the left hand, and pull it so that the sclerotic will pull away from the choroid. Then, using the cutting edge of the scalpel, scrape the choroid loose from the sclerotic close up to the entrance of the optic nerve. (Fig. 26.) Do not separate the optic nerve from the choroid. Cut away the remainder of the sclerotic close up to the optic nerve and the choroid will be free. (Fig. 27.)

To get a perfect specimen and completely isolated choroid, it must be emptied of its contents. Insert the scalpel between the lens and the iris, force it on through, and in such a manner as to keep the scalpel close to the ciliary processes. (Fig. 28.) Cut the vitreous around the processes. Push the scalpel further into the vitreous, and cut out the central part of it, just as one would cut out the core of an apple. (Fig. 29.) Remove the scalpel, pick out the lens and the cut centre of the vitreous with the broad-point tweezers, holding the choroid a trifle suspended by the optic nerve. The remaining part of the vitreous may be broken down by cutting with the scalpel, and by squeezing and crushing with the fingers of both hands. (Fig. 30.) The choroid will be tough enough to stand this treatment provided the pupil is left clear and open to prevent inter-choroidal pressure. After the vitreous has been removed the choroid will be left in a greatly collapsed condition. Dropping it into water and letting it fill up will make it resume its original shape immediately. The retina does not always come out with the vitreous. In such a case, the tweezers may be used to pick out the retina when the choroid is in a collapsed condition.

This specimen will show the vena vorticosa, the ciliary nerves, and their way of ramifying, and the long ciliary arteries, which run opposite each other and which may be recognized by their rather colorless, tubular appearance. The evacuated choroid makes an excellent specimen and one easily examined. Place it in a 3 per cent. solution of formaldehyde, and then examine with a skiascope, an ophthalmoscope, or by “oblique illumination.”

This dissection is wholly original, and may be done in about five minutes. The old technique for doing it required at least an hour of time with the possibility of procuring one perfect specimen in every six or seven. The technique as given here will make it possible to do the work in not longer than five or six minutes for the beginner, and about four minutes for the expert.

---