Cataract extraction / by H. Herbert.

  • Herbert, H.
Date:
1908
Catalogue details

Licence: In copyright

Credit: Cataract extraction / by H. Herbert. 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 eyes upon which we operated contained numerous pneumococci or streptococci. Occasionally, in up-country patients, we decided to operate in the presence of chronic inflammation with distinctly freer discharge than above mentioned. In these cases preliminary perchloride irrigation was practised at the time of inspection, lasting perhaps for ten seconds. The lotion, i in 3,000, was squeezed out of pads of lint, and the cases were noted for the maximum treatment just before operation. In our private practice infective iritis and irido-cyclitis have been rather more frequent than in hospital work, and we have thought that the higher incidence was possibly accounted for by the non-use of the test dressing and morning inspection. To show fitness for operation without antiseptic lotion, the test bandage must reveal no trace of abnormal secre- tion. At the morning examination, also, the opportunity may be taken of testing the patient's control of his eye and lid movements. Operation may have to be postponed for further training of the patient. The administration of a nerve sedative may be found advisable to dull an excitable patient's fears; or operation by lower section, preferably subconjunctival, may be decided upon in the case of a very unintelligent individual. Orders can also be given now as to the perchloride treatment of the conjunctiva immediately before operation, the instillation of adrenalin, etc. For nervous patients a bromide draught at night may be possibly advisable. A good night's rest, plus some of the influence of the drug still remaining, must help to make the patient collected and calm for the ordeal. At times we have used bromide and chloral fairly extensively, 10 or 15 grains of
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