On traumatic keratitis : with a report of nineteen cases treated at the London Ophthalmic Hospital, between December, 1862, and May, 1865 / by Spencer Watson.
- Watson, Sir William Spencer, 1836-1906.
- Date:
- 1865
Licence: Public Domain Mark
Credit: On traumatic keratitis : with a report of nineteen cases treated at the London Ophthalmic Hospital, between December, 1862, and May, 1865 / by Spencer Watson. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![4: removal of the lime by means of diluted vinegar injections and oily applications give the only chance of saving useful vision and even of preventing the total destruction of the eyeball. In Cases 2, 4, 5, and 18 it is to be obsei-ved that the character of the intlamma^tion was that of vascular injection without any effusion of pns or lyni]di, and associated witli great intolerance of light. It would seem that the diathesis in these patients was'liiore 'pSofie'to the ar^Afst'sc inflammatory form of disease than in tlie case of tlie more debilitated patients, who form the great bulk of the severe cases. Possibly, tlie taint of syphilis may have been present in tliese patients, and the injury received may have called fortli the .latent energies of the hereditary disease, ft is remarkable that, in Case 18, mercury had been administered for some time previous to the patient's application to the hospital, and that theisymptoUis persisted for some weeks, until the iodide of potassium wasi giveni iwhen a'irapid'improve- ment took place.' ' ■ : ■ i i'i -'V ' :!)!f;;-: -iil 'iT W;.; '•'^ J^^he 'occuiTeric^ 'tifiiintolemnce of MgM appears-to >be tniU frequent a« a marked sympttnn in cases of gi-eat severity, and ill some oif the worst cases is altogether absent. • Pain aronnd the orbit ' and in the eyeball, however, is a very prominent tiyn'i]itoiii ^fe'i the■ • sa/mel • cashes,' 'amdi seenisi;ta be' severe' in pro- portion to tlie amount of intraocular pi-essure. Certainly, in tiiose cases in which there has been tension of the globe appi-u- t.uabl(3''%0'itlle 1)oifc]rn(vv'hiGhf di(()wever,'I 'have- not bbsen'ed ^ in many), tlife patients have complained of pain and disturbed rest, and in such eases great relief has followeil the evacuation ,of the aqueous humoiaiV'or 'an''Operation of iridectomy; Tension of the globe' seems more comnKm in traumatic oplithalmia than in other kiwds of keratitis, and tliis is probably owing to the more frequent implication of the iris and the disturbance of the intraobtilar' circiflation. ''i'Tn the treatment (if tntumatic ophtlialmia the ordinary rules '^Z^+surgery must be followed ; but it will be of some interest to itiV[ilire' under what Circumstances the operation tapping t]l& aiiteiior chamber is likely to be useful. There can be little doubt that tiie operation afPords relief in cases of onyx and hypopyon', when tlbse conditions are associated with • mneh jpdWjI'iV'hether'tlieieJ lmialicreased intraocnlar pmssure or not; ^>Wt 'm6re*''ef=f]ibd«lly niider the former circumstances. When, in atlditiou to vsuppnration or ctVusion into the anterior chamber, tliewisx^'slonghing' ulcer of the oornfia), or ^ani ulcer threatening to'sltoiigii,or when the pupil is kept closed by synechiie, it is betterto perform an iridect(miy. Cases 16, 17, and 19 illus- ti'Ate'these'points 16f practice, llie repeated operation of para- b^ntesis'is available'in many cases, and is preferable when the jDatieAt win submit to it; and it mnst be observed that paracen-:](https://iiif.wellcomecollection.org/image/b22273840_0008.jp2/full/800%2C/0/default.jpg)
