Clinical lectures on some of the principal diseases of the eye / by Isidor Gluck.

  • Glück, Isidor
Date:
1855
Catalogue details

Licence: Public Domain Mark

Credit: Clinical lectures on some of the principal diseases of the eye / by Isidor Gluck. 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.

    18/34 (page 210)
    of the opacity, which evidently looks capable of metamorphosis, and to con- vert it as substitute for the lost epithelium. I shall confine myself, in this instance, to the center of the opacity, whereas in the young man I will remove the epithelium in that part of the opacity situated helow the pupil, not to produce an inflammatory action in the part opposite the pupil. I will proceed to effect it at once in the lad. I use for this ])urpose Gimbernat’s speculum, consisting of a ring slit on one side and provided with a semicircle in its upper part, which by being pressed toward the ridge on the palpebra superior of the orbit, forms with the ring calcula- ted for steadying the eye and the handle, an ophthalmostate, which by pres- sure toward the eye keeps the cornea expanded and stretched. With a cat- aract needle curved on its blade, I now remove by its edge, holding the handle horizontally scraping in single strokes the epithelium and some sub- jacent lamella. You perceive now an excavation; we will allow nature time to fill up this loss and repeat the same manceuvre as soon as it appears re- placed; at the same time ice water must be used to check a great amount of subsequent inflammation, and thus to control it. The same operation I intend to execute, to-morrow, on the eye of our obliging young lady. (To be continued.) ( ART. IT.— Dislocation of the Femur into the Ischiatic Notch. Beduction by Manipulation. By Frank H. Hamilton, M. D., Professor of Princi- ples and Practice of Surgery in the Medical Department of the University of Buffalo. In my report on “Dislocations” made to the New York State Medical Society in February last, and just published, I have stated that in reference to the reduction of dislocations of the hip by “manipulation” alone, I did not feel authorized to speak authoritatively, having as yet had no experience in this mode. I ventured, however, to express a hope, based upon the tes- timony before me, that it might hereafter prove, in a majority of case.«, both safe and practicable. Since then an opportunity has been presented which has enabled me, in some measure, to determine, by personal experience, the value of this procedure, and I hasten to lay the case before the profession March 23, 1865. Charles McCormick, aged‘21 years, at work for the “State Line R. R. Co.,” was caught between two freight cars, with his back resting against one and his right knee against the other; his thigh being