Tension of the eyeball, glaucoma, etc. : some account of the operations practised in the nineteenth century for their relief : (a paper read before the Midland Medical Society, February 3rd, 1863) / by James Vose Solomon.

  • Solomon, James Vose, 1817-1899.
Date:
1865
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Licence: Public Domain Mark

Credit: Tension of the eyeball, glaucoma, etc. : some account of the operations practised in the nineteenth century for their relief : (a paper read before the Midland Medical Society, February 3rd, 1863) / by James Vose Solomon. 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.

    19/90 page 11
    which, as proved by the experiments of Dr. Kadclyffe Hall, presides over the organic function of the eye. Through the kindness of Mr. Square of Plymouth, my theory was embodied in the valuable practical address in Ophthalmic Surgery, delivered by him before the meeting of the Bi'itisb Medical Association at Torquay, in August 1860, and which was published in the Jouenal of the same year. Since that time I have been gratified by observing that the tendency of opinion among scientific surgeons has been in the direction which I was the first to indicate; viz., that the nerves of the ciliary vessels play an important part in the role of symptoms which constitute glaucoma, as described by the new school of ophthalmology. I have been led to attribute considerable importance to section of the ciliary nerves at the point where they pass from the muscle of the lens into the iris— 1. From having observed the subsidence of non- inflammatory glaucoma after an intraocular myotomy* which was attended Avith so little discharge of aqueous humour as to occasion a doubt whether any had escaped. There was no loss of vitreous in these cases. 2. From the superior results obtained in glaucoma Cases treated by iridectomy where the iris has been cut close to its origin, as compared with those in which such precaution rvas not taken; also from the superior results of intraocular myotomy, as compared with divi- sion of the ciliary structures at a right angle with the cornea, and with paracentesis of the cornea. * Intraocular myotomy is performed by making an incision, with a cataract-knife, on a line parallel with one of the equators of the eye, through the corneo-sclerotio union, pillars of the iris, and ciliary muscle.
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