On the nature, and cure of strabismus : by operation / by J.A. Ratton.
- Ratton, James Alban, 1814-1865.
- Date:
- 1842
Licence: Public Domain Mark
Credit: On the nature, and cure of strabismus : by operation / by J.A. Ratton. 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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![feet off, when both eyes would appear most decided- ly converged. Has squinted from birih, when one eye is dosed, the other becomes straight, same oc- eans with both eyes, the right eye also appears to have a very slight nebulous tinge, there is likewise less distinctless of vision in the right eye, to which if there could be said to be any difference, the squint appears to be most inclined. This case of course, 1 had no hesitation in pro- nouncing would require the operation on both eyes; though provided the operation was well conducted, it would be attended by full and permanent suc- cess. Having in the first instance, ascertained the lads steadiness a day or two previously with the speculum, and thus prepared him for the steps of the operation :* as he was still very desirous of being- relieved from the deformity, and did not shew the least fear, I now proceeded with the kind assistance ofS. Rogers, Esq. to operate in the usual manner. The lad bore it astonishingly well, not saying a word — it was performed satisfactorily, and in about a mi- nute.—Immediately upon re-opening the eye, it was found perfectly straight, and lie had lost for the time all power of turning it in. The right eye was now found the affected one (this is very frequently the case, though not always-]-) the corresponding muscle * This is not only when thus ascertained more satisfactory, but it is everr essentially necessary to avoid disappointment to all parties as some patients cannot, however desirous, hear even the application of the speculum, or in fact i he application of any instrument to the eye, without becoming so unsteady, as to preclude the possibility of proceeding.— See case P. 54. t In fact aft er the division of the rnusc'e of one eye, sometimes the two become dilrectly parallel (l. Andersons case) ; at others the undivided eye turns more inwards; again the divided eye occasion-](https://iiif.wellcomecollection.org/image/b22336813_0096.jp2/full/800%2C/0/default.jpg)
