Notes on the electro-magnet in ophthalmology : with a report of nine cases / by Wm. Ellery Briggs.

  • Briggs, William Ellery
Date:
[1889]
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Licence: Public Domain Mark

Credit: Notes on the electro-magnet in ophthalmology : with a report of nine cases / by Wm. Ellery Briggs. 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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    intensely paniful, the patient came to Sacramento. Upon examina- tion I found a small wound in the cornea, below the centre and in the middle line, with a black speck in the iris near the pupil The pain was sufficient to prevent sleep, and there was considerable in- flammatory exudation upon the iris and in the anterior chamber An incision was made in the cornea, with a Grade's cataract knife near the lower border, the point of the electro-magnet was passed into the anterior chamber towards the foreign body, which was at- tracted, attaching itself to the magnet and being withdrawn with It. It was a piece of steel more than two mm. in length Eserine was instilled, and a compress and bandage applied. The following day atropine was used. Three days later the patient returned home with perfect vision. Case II.—]. M , blacksmith, while working, felt that some- thing had penetrated his left eye. When seen a few hours after the injury the eye was injected, freely lachrymating, with vision little above the perception of light. The corneal wound, injured u-is and lens, could be readily seen, but the foreign body was not detected. There had been free hemorrhage into the vitreous l<rom the nature of the wound a foreign body was believed to have lodged within the eye. A point of the electro-magnet was accord- ingly introduced into the vitreous through an incision made in the conjunctiva and sclerotic between the external and inferior recti muscles. It was held in position a few seconds, and upon with- drawal a small fragment of steel was found to be attached Atropine was instilled, and a compress and bandage applied The inflammation which followed was slight, and in four weeks the eye was free from irritation. Traumatic cataract remained, but with a fair visual field. Case III.—^. W was injured in the ciliary region of the lelt eye. Ihe eye contained a large quantity of blood, and no oreign body could be seen. The wound was slighdy enlarged backwards^ and a point of the magnet introduced but failed to at- tract the foreign body, and after two unsuccessful attempts at ex- traction the eye was enucleated. A piece of steel was found, firmly impacted in the sclerotic at the fundus. Case IV—T. B was seen the evening of the injury A wound in the centre of the corneal hemisphere was detected and a foreign body lodged m the iris near the pupil. The next day a corneal incision was made near the lower border, and a point of the magnet introduced into the anterior chamber. Before the mag- net had reached the foreign body it was seen to jump from its position and was withdrawn attached to the instrument. A com- press and bandage and cold water dressings were applied The eye recovered with no untoward symptoms, and the patient was discharged m ten days with perfect vision.