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.

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    other distinguished operators place their iucision entirely in the cornea. Have we arrived at the ne plus ultra of ophthalmic surgery ? Must we rest and be thankful, or shall we go back and make a selection from the labours of our distinguished confreres, adopting some of their suggestions and rejecting others ? Well, it seems clear that modern surgeons are right in abandoning Graefe's linear extraction. The wound is too far back ; the danger of prolapse of the vitreous is too great. A vast iridectomy is necessary in order to prevent strangulation of the iris at the angles of the wound. There is great risk of bleeding into the anterior chamber in the early stage of the operation—a most embarrassing complication; and the site of the wound is such as to excite well-grounded fears of sympathetic Fig. 2. ophthalmia ; moreover, the best results will not bear comparison with those obtainable by flap extraction. The division of the ope- ration into two parts, as in Mooren's method, is so manifestly objectionable, that it is clear that this operation must be reserved for those cases in which it is necessary to perform iridectomy as a preliminary on account of glaucomatous or other complications. The profound anaesthesia insisted upon by Jacobson before operating renders his method too dangerous
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