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.

    23/106 page 19
    LECTUEE II. ON SQUINT. Gentlemen,—A short time ago a gentleman holding an important official position in a neighbouring county consulted me on account of failing vision in the left eye. The eye of which he complained occupied its normal position in the orbit, but the right presented exactly the appearance depicted in Fig. 3. I said, Why don't you have your right eye put straight ? Because, he replied, I have during the last twenty years on separate occasions consulted three eminent surgeons, and they each tell me that in order to restore the position of the eyeball it would be necessary to divide the external muscle, and that such division would not only aggravate the existing protrusion, but might even let the eye out of the socket altogether. I explained to him that it would not be necessary to interfere with the external muscle at all, and that so far from increasing the protrusion, the replacement of the eyeball would improve vision and restore his good looks. You have often seen me perform this operation, which admits of rapid execution, and may be undertaken without anaesthetics. I hook up the tendon of the internal rectus muscle, and divide all its connections with the eyeball, pull it well forward, and by two horizontal incisions made with scissors convert it into a narrow strip. I then transfix the base of this strip as far back in the orbit as possible with a large curved needle connected with a thread armed at both ends. Before drawing the thread through I cut off as much of
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