Report on the progress of ophthalmology, 1872 : prepared for the American Ophthalmological Society / by B. Joy Jeffries.

  • Jeffries, B. Joy (Benjamin Joy), 1833-1915.
Date:
[1872]
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Licence: Public Domain Mark

Credit: Report on the progress of ophthalmology, 1872 : prepared for the American Ophthalmological Society / by B. Joy Jeffries. 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.

    19/58 (page 21)
    Pigmentary Iritis. Dr. Ritter.—Iritis with pigment deposit in the cornea, possibly from cells wandering from the iritic growth. Oththalmoscope for rapid Determination of the Refraction. Dr. Cohn.— A modification of Loring’s, with the disk of glasses above instead of below. Cyst of the Cornea. Dr. Samelsohn.—An unique case. Application of Lapis Purus to the Conjunctival Fold in Corneal Affections. Dr. F. Hosch.—He gives the report, amongst others, of nine cases where asthenic corneal processes were thus treated with great success, one or more applications having been made. “ Lapis purus is always used, as in these cases there is danger in delay. We do not, as in the blennorrhaic conditions, make a broad cauterization, but with a pointed lapis pencil, a narrow eschar over the most bulging or swollen part of the conjunctival fold. This is to be immediately neutralized. It is better to dry the part first, to avoid spreading of the caustic. In this way bad conjunctival cicatrices will be avoided. A slight increase of irritation generally follows the application, followed by rapid improvement if the tarsal conjunctiva has not been touched. If the swelling of the conjunctival fold does not disappear after the first cauterization, and no better vascularity appears in the cornea, then the application must be repeated, but not before the eschar has sloughed off. The increased irritation after this application is best combatted by cold applications. By the stimulus of the cauterization the superficial conjunctival oedema is relieved, and thus a freer circulation takes place in the episcleral vessels. There is no difficulty in making the application. When properly neutralized the pain is not entirely prevented, as Grsefe thought, yet amounts to but little. In the majority of cases the procedure need not be often repeated. The result is frequently very perfect, and we have been astonished to see how quickly vascu- laritj^ was established after proper application of the caustic in cases where all sorts of stimulating remedies had been tried in vain. We would again repeat that this method is only advisable where there is marked swelling of the conjunctival fold.” Simple Glaucoma, with diffuse general corneal opacity. Dr. Schiess- Gemuseus. Amaurosis, from poisoning by morphine. Dr. W. Wagner. Blepharoplastic; erysipelas in wound, softening of the cornea and atrophy of the globe. Ditto. Piece of Iron, extracted from the anterior chamber. Ditto. Cheyne-Stokes’s Respiratory Type, with pendulum motion of the globe, rheumatic endocarditis, encephalitis from embolism of the arteria fossm sylvii dextra. Gottlieb Merkel. This case is published in full in the Deutsches Archiv f. Klin. Med., B. v., page 201, and cor- responds to one given in the Berl. Klin. Wochenschrift, No. 15, 1870. Retinal Affectionsin Surgical Fever. Deutsche Zeitschr. fiir Chirurgie Bd. 1, Sept. 1872, p. 471. Notice of the original, viz.: Embolism and so called Retinitis septica. Blindness after Scarlet Fever.—Due to kidney trouble with uraemia. Cases fully given in Jahrb. f. Kinderheilkunde u. phy. Erziehung, June, 1872. Basedow’s Disease.—Use of galvanism in four cases ] fully given in Berln. Klin. Wochen., Sept. 23, 1872.