Lectures on diseases of the eye / by Charles Bell Taylor.

  • Bell Taylor
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: Lectures on diseases of the eye / by Charles Bell Taylor. Source: Wellcome Collection.

    12/106 page 8
    announced, as the result of the daily examination of eyes recently operated on, that the part of the eyeball which took the initiative in the destructive inflammatory process was the portion of iris contused during the exit of the lens, and that this stretching and bruising was consequently the teterrima causa of subsequent disaster and loss of sight. Acting on this hint, Mooren, of Dusseldorf, excised the piece of iris corre- sponding to the flap some weeks before extracting; and Schufte, at that time Von Graefe's assistant, seeing the small proportion of eyes lost after iridectomy—about one in five hundred— simply performed that operation in the ordinary way, and then scooped out the lens with a spoon. Shortly afterwards Graefe pubHshed his famous memoir on linear extraction, placing the wound in the plane of the lens entirely outside the cornea. Jacobson, of Koenigsberg, and Pagenstecher, of Wiesbaden, followed with similar sclerotic incisions both up- wards and downwards, the latter removing the lens with its capsule entire by means of a large spoon. I visited Graefe's, Pagenstecher's, and Mooren's cliniques at this time in order to study their various methods of operating, and, after careful investigation of the whole subject, arrived at the conclusion that Schufte's incision in the corneal margin was the best, and that it needed but to be slightly enlarged in order to enable us to extract the lens without the objectionable scoop or the use of any traction instrument whatever. After ope- rating in this way with most brilliant success upon a number of cases with an incision combined with an iridectomy, and comprising only one-third of the upper segment of the cornea, I published an account of the procedure in the Ophthalmic Review and Edinburgh Medical Journal, and it has since been universally adopted as the operation par excellence for cataract
    No text description is available for this image
    No text description is available for this image
    No text description is available for this image