Licence: Public Domain Mark
Credit: Selected cases of injury of the eyes / Henry Power. 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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![lens, which is covered with lymjjh; ciliary processes covered with lymph. January 22.—Photophobia ; circum-corneal zone much less; no pain. L.V.=:/o-. February 5.—Vascularity of sclerotic much diminished ; circum- corneal zone nearly gone; pupil not dilated ; eye flashes up on least exposure to iioht. L.V. is now ^ (on admission, merely per- ception of light). Case XI.—Injury luith Fragment of Steel to Right Iris and Lens—Cataract — Removal of Lens Substance—Partial Recovery—Opaque Capside being left. George PuUen, 32.—One month previous to admission a small piece flew off a steel chisel he was using, and wounded his right cornea, iris, and lens ; the eye had been inflamed and painful foi- a fortnight, he had no vision with it. When he came in there was a fine semi-opaque cicatrix running across centre of cornea downwards and inwards for about one line in extent. The pupil was elongated from above downwards and inwards, was irregular and immovable, and was blocked up by opaque lens and lacerated capsule. The iris was muddy, appear- ing to have been cut at its lower and inner part. Leeches and atropine ordered. On 19th.—Mr Power introduced a broad needle^ and divided the thickened and opaque capsule, allowing the aqueous to per- meate lens matter thoroughly (both of which escaped freely). 21-—Ordered calome], opium, and quinine. Severe Iritis followed. K.V. = Shadow of finger near eye. 28.—Can just distinguish light. Two leeches. Iris rather pushed forwards. February 1.—Lens matter steadily undergoing absorption. No pain. Circum-corneal zone strongly defined. 3.—Discharged. Good perception of light. Eye quiet. June ^29.—Reappeared. E.V. = Counts fingers at 2 feet. L.V. = ^ gniall strip of dense white capsule stretches across pupd from lower and inner to upper and outer part, in which latter situation it is broadest; iris is adherent to it. All lens matter absorbed. Wound of iris at lower part still apparent, and the central linear cicatrix on cornea is just perceptible. Refuses to have his eye touclied ; so returns to farm work. In this instance, whilst there was good reason for beh'eving that the chip had entered the eye and was lodged in it, there was so little irritation that it was not thought justifiable to recommend enucleation. If present, tlie particle may have lodged in the](https://iiif.wellcomecollection.org/image/b21645887_0013.jp2/full/800%2C/0/default.jpg)
