Anaesthesia and non-anaesthesia in the extraction of cataract : with some practical suggestions regarding the performance of this operation, and comparative statistics of two hundred cases / by Hasket Derby.

  • Derby, Hasket, 1835-1914.
Date:
1882
Catalogue details

Licence: Public Domain Mark

Credit: Anaesthesia and non-anaesthesia in the extraction of cataract : with some practical suggestions regarding the performance of this operation, and comparative statistics of two hundred cases / by Hasket Derby. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

    28/36 (page 26)
    by following out the method, it is not of course claimed. But that this method has had, in my hands, a decidedly greater measure of success than the other there is no room for doubting; and it can safely be said that this increased success did not depend on additional experience in operating, or increased manual dexterity due to practice. The single case of fiiilure in the second hundred was discharged from the hospital on the fifteenth day. Moderate inflammation had followed the operation, but, at the time of discharge, though the pupil was blocked with cortical remains, the ante- rior chamber had long been reestablished, redness had disappeared, and there was good perception and projection. Not long after the patient had re- turned home severe pain came on, followed bj' sup- purative choroiditis, which ultimately necessitated enucleation. The nine cases of fixilure in the first series were due, in six instances, to corneal suppuration; in two to cyclitis depending on the presence of corti- cal remains; and in one to panophthalmitis. As has been alreadj' stated, none of these were selected cases, but taken in the order of their oc- currence, in private and in hospital practice, — un- complicated senile cataracts, with good perception and projection. Of the second series a single case, however, has been skipped, and the hundred made up by adding what would properly be the hundred- and-first. A man, aged seventy-five years, very restless during the operation, the performance of which was thus rendered unusually difficult, was