Clinical medicine and surgery of the eye and ear / by Laurence Turnbull.

  • Laurence Turnbull
Date:
1859
Catalogue details

Licence: Public Domain Mark

Credit: Clinical medicine and surgery of the eye and ear / by Laurence Turnbull. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    12 o'clock. Pain more severe ; the discharge from the eye on the increase. Ordered a wash of zinci sulphatis, gr. j., with atropia tiulphatis gr. j., aqua destillata, f^j .as a local application around the brow, with warm infusion of chamomile and the morphia solution intergally every third hour. 26th. Better night; slept well; pain gone. To prevent the discharge of the vitreous humor, shut the eye up entirely with a piece of gauze and collodion. 27th. Discharge less ; very comfortable. Oct. 1. To-day, finding he had pain and uncomfortable feeling in the corner of the eye, and the gauze having become wet with the secretion, I removed it, after it had remained on for three days. The blood in the anterior chamber is all absorbed, and he is able to see an object, as the hand when it passes between him and the light; but the opening in the sclerotica still freely discharges the vitreous humor; I therefore touched the spot with a delicate pencil of nitrate of silver, which formed a covering at once, coagulating the fluid and forming a slight slough, which, when it separates, will assist in closing the surface. 3d. There is no more discharge of fluid, and he feels quite well, but the iris has become sluggish, so I directed around the eye at night the soft extract of belladonna, giving him small doses of hyd. chlo. mit. and ant. et potass, tartras, as a purgative and alterative. 4th. Mouth has become tender; omitted calomel, and gave him citrate of magnesia, with wash of alum for the mouth. 5th. For the last two days there has been considerable irritation from a small black body projecting from the wound in the sclerotica. ' Finding it to irritate him, I directed warm fomentations to the eye to assist in its removal. 6th. Gradually the body is making its way outwards, but being small and very delicate, I was afraid to touch it, for fear of breaking it; its appearance is that of a small piece of oxide of iron. 8th. Brought a small delicate pair of forceps to remove it, when, on examination it was gone; he thought it passed from the eye in the night, with a gush of tears, for he found himself relieved of its i scratching. On a careful search, it could not be found. 12th. The inflammation setup by the irritation of the foreign body has increased, and for the last three days has produced some inflamma- tion around the cornea, causing a slight haze of an ash-gray color. Ordered him leeched freely, and actively purged, with mustard to the nape of the neck, and a four grain solution of nitrate of silver to il