A case report of 5703 cases of eye diseases seen and treated in private practice in Constantinople in 1877, 1878 & 1879 : and also a tabular analysis of 1118 cases treated at the Imperial Naval Hospital with eight chromos, and a woodcut / by Edwin van Millingen.

  • Van Milligan, Edwin.
Date:
[1880?]
Catalogue details

Licence: Public Domain Mark

Credit: A case report of 5703 cases of eye diseases seen and treated in private practice in Constantinople in 1877, 1878 & 1879 : and also a tabular analysis of 1118 cases treated at the Imperial Naval Hospital with eight chromos, and a woodcut / by Edwin van Millingen. 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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    place where the last inverted cilise are found. A second flap is then cut out of the skin adjoining the first flap its shape being such as to cover the raw surface from which the first flap has been raised. The result of this transposition of two small flaps is to bring a por- tion of skin deprived of hair on to the surface which was occupied by the inverted cilue. The apices of the flaps can be secured by fine sutures. If care is taken to make each flap very thin and delicate, generally 1mm in breadth and 4-5 m in length, no traces of an operation remain after cicatrization has taken place* It appears to me that plastic operations will ultima- tely be adopted as the surest means of securing a perfect and permanent cure for trichiasis without incurvation of the eyelid,and also for partial trichiasis.The cause of the re- lapse of trichiasis after Arlt's and other operations is to be sought in the reobliteration of the intermarginal space, consequent upon the cicatricial process in the conjunc- tiva, and although operations for trichiasis are postpo- ned until this process appears to have ceased, there is always some further cicatricial retraction after a number of years. The only safeguard against the reobliteration of the intermarginal space, is the interposition of other tissue between the ciliae and the conjunctiva, and the best tissue adapted for this purpose is the fine dermis of the upper lid, or the under lip of the rabbit. Phlyctena pallida, (Frtihjahrs catarrh.) Out of 21 cases of this peculiar disease 5 were females and 16 young lads. The respective ages of the females were 19, 8, 16, 10 and 30, and those of the lads, 14, 19, 10, 5, 12, 7, 9, 8, 9, 10, 17, 9, 15, 16, 6, and 19. In every case both eyes were affected. A circumstance which has often struck me is that the patients had all, without excep- tion a peculiar colour of the skin which was of a pale earthy and unhealthy hue. None of the patients had a bright healthy appearance although they were all young. The size of the excrescences on the limbus around the cornea