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

  • Laurence Turnbull
Date:
1859
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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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    the eye every third day, there being a discharge of a secretion of altered mucus. 15th. Inflammation much less, but tbe eye is still irritable. I find that he has, without my consent, been taking a little wine and water, which I bad entirely forbidden. Ordered small doses of calomel and tartar emetic again. 24th. Eye very much improved; inflammation entirely gone, with the effusion around the cornea; omitted the calomel, &c.j vision the same. 30th. On careful examination witb my friend. Dr. Littell, there is a bright reflection from the posterior chamber of the eye, with but little action of the iris under the dilating influence of atropia ; there is fibri- nous deposit in the posterior chamber; there has also taken place con- siderable flattening where the opening was, with some softening of the whole eye, but no pain, only when he is jarred he feels it in the eye; but as the upper lid covers the flattening, the eye looks natural and full enough. Treatment, half gr. blue mass, three times a day. 31st. Able to be at his usual occupation, and is still hopeful of further improvement; but we feel as if everything had been done that could be, under the circumstances. Observations.—In all the authorities which I have been able to consult, wounds of the sclerotica and choroid are considered as ex- ceedingly dangerous to vision, from the injury done to the retina, and the violent inflammation of the eye which follows the accident. The blow in the case narrated above, was sufficient in itself to have produced amaurosis. The loss of so much vitreous humor, prevented the inflammation from becoming so intense as to destroy the whole eye by suppuration, which I fully expected; and it is in part to this, that I attribute my success in the above case. The result of the above injury, when examined by a lens, is a lymphatic efiusion between the choroid and retina, or between the retina and hyaloid. After a time we may expect cataract to follow, and the eye to become atrophied, as this is the ordinary course of such cases. It is of the utmost im- portance not to confound such non-malignant tumors with malignant diseases, and especially those resulting from fungus hasmatodes.