On the certainty and safety with which the operation for the extraction of a cataract from the human eye may be performed, and on the means by which it is to be accomplished / by G.J. Guthrie ; with remarks by Captain Kater on certain spots discoverable in the human eye, and on the manner of detecting their situation.
- George James Guthrie
- Date:
- 1834
Licence: Public Domain Mark
Credit: On the certainty and safety with which the operation for the extraction of a cataract from the human eye may be performed, and on the means by which it is to be accomplished / by G.J. Guthrie ; with remarks by Captain Kater on certain spots discoverable in the human eye, and on the manner of detecting their situation. 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.
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![and then only to examine the eye in the most careful manner; for I have so often found that an earlier examination has led to an immediate attack of inflammation, that I have desisted from doing that which almost always a])peared to be detrimental. When the eye is known to be inflamed by the state of the eyelid, it is very bad practice to open it, for the pain and other symptoms of inflammation are almost always immediately increased. Inflammation of the iris, and of the internal parts of the eye, must of course take place occasionally; but I am quite satisfied that when it occurs, and which often hap- pens about the fourth day, it generally arises from the examination made of the eye; and from the displacement of the edges of the incision which it gives rise to, occasioning or admitting of a prolapse of the iris, which is either accompanied or soon followed by inflammation. This attack must be met in the usual manner, but the prolapsed part of the iris should not be meddled with until the inflam- mation has been subdued, when, if it has not diminished in size, or become covered by a layer of cornea, it may be touched with a fine point of the argentum nitratum, on the same principles as those which guide its application when the iris protrudes through an ulcer. But this is very rarely necessary when the division of the cornea is effected upwards. In those protracted cases, which require the applica- tion of the compress, however light it may be to be prolonged, a secondary swelling of the eyelid, attended by a white and irritating discharge, will sometimes take place. This arises from irritation, and will be i](https://iiif.wellcomecollection.org/image/b22274029_0046.jp2/full/800%2C/0/default.jpg)
