A new operation for the cure of amaurosis, impaired vision, and short-sightedness, in a letter, addressed to John Richard Farre / By James J. Adams.

  • Adams, James J.
Date:
[1841]
Catalogue details

Licence: Public Domain Mark

Credit: A new operation for the cure of amaurosis, impaired vision, and short-sightedness, in a letter, addressed to John Richard Farre / By James J. Adams. Source: Wellcome Collection.

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    did, in the presence of myself and others) several sentences of large print; sees all objects double when both eyes are open. S. H. states that she read, on the day after the operation, the large printed title of a child’s book by means of the right eye, the left being closed. 7th.■*—If the left eye be closed, and the right open, feels very giddy, every object appearing to be in motion, and if she attempts to move, she feels afraid that she should step on them. These symptoms are instantly relieved by opening the left eye-lid. 12th.—Position of the right eye much altered, and is now nearly natural; the patient says that three days since it came suddenly straight. Association—very nearly natural. Repulsion—right eye slightly beyond its centre. Inversion—to the concealment of about one third of the cornea in the left, but the right eye the cornea cannot enter its inner canthus by about half a line. Eversion—very complete in both. Sight considerably improved since the last report. Read, in the presence of several professional friends, the large print of a public Journal. 15th.— Sight still much improved; having read, in the presence of many gentlemen, a moderate sized print; * still sees double. The pains about the eye and brow have been, since the operation, much less; but she has had two or three attacks of general headache. I' I now proceeded to divide the right external rectus muscle, carefully separating its cellular connexions. The immediate effects of the second operation were to render the position of the right eye perfectly central and corresponding with the left, to remove the double vision, and to cause the sight to become perfect, in a direction towards the right inner canthus. 20th.—Sight more extensive since the second operation; can see with * the right eye, as well towards the left hand as towards the right. Can see to read the ordinary newspaper print. * It may be well to state that many of the operations that I perform are done publicly, though at my residence, as I have long since permitted any medical gentleman to witness them without the necessity of an introduction.
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