Forty-sixth annual report of the surgeons of the Massachusetts Charitable Eye and Ear Infirmary, February, 1872.
- Massachusetts Eye and Ear Infirmary
- Date:
- 1872
Licence: Public Domain Mark
Credit: Forty-sixth annual report of the surgeons of the Massachusetts Charitable Eye and Ear Infirmary, February, 1872. 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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![Fig. 7. May 18, 1870.—I broke this attachment by Passavant’s operation, and the pupil became round and movable. The patient continued under constitutional treatment for syphilis. A woman, set. p] 25-30, has had chronic irido-choroiditis and as sequelae, some four or five attachments of the iris to the capsule. Around these the pupil dilates, showing the iris tissue to he still good. There is a constant trouble from the eye, aggravated I judge by the drag- ging of these posterior synechise. Therefore, under ether, I broke away two that were close together at the upper side. After breaking one, and the aqueous had escaped, I found no great difficulty in pushing the point of my closed forceps between the iris and the cornea, against which it of course laid, to reach the next one close beside it. In a few days I broke another at the opposite side of the pupil, also under ether. The patient was rendered quite sick and uncomfortable by the ether, so much so that I proposed to her trying to break the next without anaesthetic. This she consented to, and I succeeded without difficulty. She did not complain of the pain as being very great, the dragging on the iris seeming to be the most painful part; that it was not severe was certainly proved by her preferring to have the fourth and last op- eration done without ether. With a little care and com- mand over the patient, I had no difficulty in holding the](https://iiif.wellcomecollection.org/image/b22449966_0027.jp2/full/800%2C/0/default.jpg)
