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.

    21/106 page 17
    Primnm uon nocere, I think you will find for general use a saturated solution of boracic acid the best. If you wish to be specially safe against microbes and macrobes, the same solution containing the twenty-thousandth part of a grain of corrosive sublimate may be employed. As to after-treatment—if the slight pain which the patient experiences as the effect of the cocaine goes off does not pass away, but increases, bleed, inject morphia, and apply cold compresses ; if suppuration threatens, use hot aromatic fomentations, with pressure bandages and throughout antiseptic dressings. Von Graefe objected to local bleeding for the first three days after extraction—I hardly know why; but when I attended his clinique in Berlin he strongly advised the students to avoid local bleeding for the first three days after extraction, preferring to take blood from the arm. In any way, whatever you do, you must kill the pain. Obsta principiis—stop the beginning, and before it begins if possible. I have taken twelve ounces of blood from the temple with the artificial leech myself in one case, and in another used seventy leeches ; in both the eye was saved. In spite of every precaution, you will fail sometimes ; that cannot be helped. Time and chance happeneth to all; but attention to the details to which I have briefly alluded, and which you see carried out here, will so far as possible ensure security to the patient, peace of mind to the operator, and brilliant results in a certain proportion of cases. Gentlemen, I have invited a few of my patients to attend here this evening in order that you might have an opportunity of seeing the results obtainable by modern methods of ex- traction. Some of these present a notch more or less con- spicuous in the iris, others have central and moveable pupils; these last constitute the perfection of art, since art is to conceal B
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