Report of the cases attended during the year 1837 / by R. Middlemore.

  • Middlemore, Richard, 1804-1891.
Date:
[1837]
Catalogue details

Licence: Public Domain Mark

Credit: Report of the cases attended during the year 1837 / by R. Middlemore. 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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    prefer to em])loy one the blade of which resembles the ace of spades, only narrow in proportion to its length, and having a cutting edge on either side— a sort of double Beer’s knife, one edge of which when the point is introduced within the cornea, is opposed to its upper, and the other to fts lower margin. FISTULOUS OPENING COMMUNICATING WITH THE ANTERIOR CHAMBER. Mary Elwell received a blow from a cork, which was forcibly projected against the eye. In a few days after the accident she called upon me : there was a small, nearly transparent, tumour just without the margin of the cornea, which con- tained a small quantity of aqueous fluid. On its removal, by a minute opening made with the point of a fine needle, it soon reappeared, and the iris appeared somewhat narrower on the side of this little vesicular enlargement. No astringents I could use had the effect of causing its contraction, and, on opening it with a small needle, it soon filled again ; had I used a large one, I might have produced prolapse of the iris, or have established a fistulous opening, through which the aqueous fluid would have constantly flowed. Subsequently I ap- plied the nitrate of silver to the part. The small swelling gradually diminished, and has not since reappeared. This description of tumour sometimes occurs after a small but penetrating wound at the corneo-sclerotic junction, and may either be produced by the pro- trusion of the membrane of the aqueous humour.