Report of the cases attended during the year 1837 / by R. Middlemore.

Date:
[1838?]
Catalogue details

Licence: Public Domain Mark

Credit: Report of the cases attended during the year 1837 / by R. Middlemore. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    Appearance of the Eye— There is a slight zonular arrangement of vessels around the cornea, which is occasionally much increased, and it is manifest that she has suffered for some weeks past from chronic iritis. Immediately behind the cornea there is a globular body obviously covered by a white mem- brane, interspersed with dense yellowish-white spots ; the iris is pressed backwards by the presence of this body in the anterior chamber : it was evi- dently the lens within the anterior chamber and surrounded by its capsule, the anterior hemisphere of which was converted into bone, but being more perfectly ossified at one part than another, the mottled and irregularly and densely dotted appearance I have mentioned was perceived. I scarcely know how to describe these appearances, but a person who has once seen them, has no difficulty in recog- nizing them when presented to his notice a second time. The removal of the ossified part was proposed and acceded to. Operation.—November 18,1838.—Assisted by my friend Mr. Willcox, I made a section as for extrac- tion at the lower part of the cornea, and, with little difficulty, removed an ossified capsule, which is now among my preparations. The lens was of an amber colour, and was not very opaque; the pos- terior capsule was scarcely thicker than usual, and nearly transparent, but the anterior hemisphere of the capsule was almost entirely converted into a smooth plate of bone, except near the margin of the union between the anterior and posterior hemi- spheres of the capsule, where it constitutes a rugged ring of bone.