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.

    77/106 page 73
    78 with teusion under treatment at the present moment, occurring in a girl of eighteen; and last week I had to excise the eyeball of a young gentleman, the subject of congenital dislocation of the lens, for glaucoma absolutum, whose symptoms had been greatly aggravated by atropine. But as a rule young people are not likely to suflfer from glaucoma, and the employment of atropine with patients under thirty, forty, or even fifty, is comparatively safe. But you will say, Patients upwards of fifty years of age suffer from iritis and require mydriatic treat- ment. To which I reply. Certainly. The lady whose case I quoted at the commencement of this lecture was one of these. It has been suggested that only very weak solutions should be employed, and no doubt the danger may be in this way some- what diminished ; but then weak solutions will not break up adhesions. To set the iris free you require strong solutions frequently applied; moreover, feeble dilutions are by no means devoid of risk. I have seen glaucoma aggravated by very weak solutions of atropine, and the same remark applies to homa- tropine, which it was hoped might be employed with safety; in fact, I have at the present time a lady patient under treat- ment in whom glaucoma was induced by a 1 per cent, solution of homatropine, and I note a similar case is recorded in a recent number of the Weiner Med. Woch. It has been suggested by Mr. Hodges, of Leicester, who read an excellent paper on this subject before the Midland branch of the British Medical Association last year, that the medical attendant should use his fingers, and by palpation ascertain the condition of the eyeball as to tension before dilating the pupil; but, as I remarked at the time, a certain amount of tactus eruditus is necessary to do this in any case, and when the eyeball is small, the orbit deep, and the eyelid thick and
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