Notes and observations on 310 consecutive operations for extirpation of the lachrymal sac / by R. H. Elliot.
- Robert Elliot
- Date:
- [1908]
Licence: In copyright
Credit: Notes and observations on 310 consecutive operations for extirpation of the lachrymal sac / by R. H. Elliot. 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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![Note.—Cases 83 and 259 illustrate the dangers of septic ulcer, even after apparent heal- ing. In both cases the removal of the focus of infection resulted in healing of the ulcer, but did not eventually save the eye; it is not unlikely that some small accident determined the loss in both cases, by lighting up the dormant activity of the septic organisms in the strata of the cornea, which organisms were responsible for the ulceration in the first place. Indications for Extirpation of thk Lach- rymal Sac recognised in the 310 Oper- ations UNDER REVIEW. It is to be taken, for granted that Lachrymal Obsti'uction or Dacruo-cystitis or both were found in every one of the 310 eyes. (1) Presence of septic ulcer of cornea 45 or 14 52% (2) Presence of the combination of corneal septic ulcer and lach- rymal mischief in the op- posite eye ... ... 12 or 3*87% (3) Evidence that in the past there had been a combination of severe cornea] inflammation, and lachrymal mischief in the opposite eye ... ••• 2 or 0 64% (4) Special liability to injury ... 22 or 7-09% (Note—This figure is probably far too low, as it includes only the dangerous trades, such as fitting, goldsmith-work, carpentering, and stone-hewing ; it takes no account of the risks run by culti- vators. The latter risks, though very real, are very hard to estimate in indivi- dual cases, and the figure given is, there- fore, admittedly unreliable). (5) Dilatation of the sac ... 172 or 55 48% (6] Purulence of sac-contents 151 I 192 0r 6193% Muco-purulence of sac-contents 41 ) (7) History of previous attacks of phlegmonous dacruo-cystitis ... 52 or 16'77%](https://iiif.wellcomecollection.org/image/b21639589_0018.jp2/full/800%2C/0/default.jpg)
