A post-graduate lecture on the technique of intra-ocular operations / by Percy Dunn.

  • Dunn, Hugh Percy, 1854-1931.
Date:
1905
Catalogue details

Licence: In copyright

Credit: A post-graduate lecture on the technique of intra-ocular operations / by Percy Dunn. 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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    it is interesting to note that now it is usual for patients, in whom double cataract is present, to ask for the second eye to be operated upon after a successful operation has been performed upon one. It is scarcely possible to believe that in earlier days human fortitude would have been equal to any such request as this. In the after-treatment of his cataract cases, in the present day, speaking generally, the aim of the surgeon should be to interfere as little as possible with the ordinary routine of the patient’s life. Confinement to bed, of course, is necessary at first: nevertheless this should be entirely unaccompanied by any measure of restraint, such as that of tying the patient’s hands to the bed. According to some this procedure should always be adopted, in order to prevent the patient from unconsciously disturb- ing the dressings and causing injury to the eye, while asleep. But in my opinion the better plan for avoid- ing this contingency is to have a nurse sitting at the patient’s bedside for the two succeeding nights following the operation. By this means any tendency to harmful movements of the hands which might arise can be easily and securely checked, with the least discomfort to the patient. The mode of dressing which obtains in my cases is as follows : After the removal of the speculum the patient is told to close the eye; the eyelashes are then gently smeared with ung. iodoformi (gr. iv, ad 5]). This serves two purposes : first, in helping to maintain the sterilisation of the ciliae;
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