Treatise on the diseases of the eye : including the anatomy of the organ / by Carl Stellwag von Carion ; tr. from the 3rd German ed. and ed. by Charles E. Hackley and D.B. St. John Roosa ; with an appendix by the editors.

Karl Stellwag von Carion

Date:: 1870

Credit: Treatise on the diseases of the eye : including the anatomy of the organ / by Carl Stellwag von Carion ; tr. from the 3rd German ed. and ed. by Charles E. Hackley and D.B. St. John Roosa ; with an appendix by the editors. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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$of the muscle as well as in primary strabismus, with a large angle of squint, and great limitation of motion in the course of the squinting muscle. (Graefe.) To bring forward the insertion of the muscle, after properly fixing the globe, the conjunctiva in front of the affected muscle is to be divided vertically and then separated from the sclera toward the cornea and toward the reflection to a proper di.-tance. Then the end of the muscle is to be dissected up from the sclera, and the antagonist muscle divided, not close to its line of insertion, but about one line further back, so that a stump may remain. Through this stump a loop of thread is to be passed by means of a curved needle, the globe turned toward the side of the muscle to be brought forward, and retained in this position for two or three days by properly fastening the thread. At the same time, the proper application of a pressure-bandage is of marked service, as it fixes the globe to some extent, and some- what prevents traction of the parts united to the thread, and removes one cause of great pain and intense irritation. (Guerin, Graefe.) Unfortunately, in this method we can not easily regulate the effect, since the eye must be turned as far as possible to the side of the muscle to be brought forward, in order that the thread may not pass over the cornea and rub upon it, which gene- rally causes unbearable pain, and often severe inflammation. There then generally remains in the most cases a great deviation of the globe in the course of the muscle again brought forward, which then must be covered by a setting-back of the partner of the opposite side, in case this has been already divided. (Graefe.) 12. In order to remove the great deformity caused by a great sinking-in of the conjunctiva and caruncle after excessive division of the ocular sheath on the inner side of the globe, the ocular conjunctiva is opened in the same way as in stra- botomy, some lines in front of the caruncle, in a vertical direction. The submu- cous tissue is then dissected with care as far back as the outer surface of the muscle, which has been set back, and forward to a point near the corneal margin. The edges of the wound are then united by suture, taking care to draw the caruncle well forward and somewhat upward. The surf ice of the posterior conjunctival flap, which has been dissected up, is then united to the sclerotica. (Graefe.) In order to conceal great protrusion of the globe, or to remove excessive gnping of the palpebral fissure, tarsoraphy is performed/with advantage. (Graefe.) Authorities- Graefe, A. f. 0. I. 1. S. 10, 13, 82-120, 435, I. 2. S. 294, II. 1. S. 239-308, III. 1. S. 177-386, IV. 2. S. 261, V. 2. S. 211, VIII. 2. S. 339, 348, 365. IX. 2. S. 48-56, X. 1. S. 156- 175 ; klinische Monatbl. 1863. S. 484. 1864. S. 1-22.—Bonders, A. f. 0. VI. 1. S. 92, IX. 1. S. 99- 154; Anomal der Ace. u. Refr. Wien. 1866. S. 243, et seq. [Accommodation and Refraction of the Eye. London, 1^64, p. 244, 291, 403, et seq.] ; Verhandlgn. d. ophth. Versammlg. zu Heidel- berg. Berlin 1860. S. 31-34; Vierde Jaarl. Verslag. Utrecht 1863. S. 1-52, 84; Congress ophth. de Paris 1863. P. \4S.—Ritteric7i, Zur Lehre vom Schielen. Leipzig 1856.— Buete, Lehrb. d. Ophth. II. Braunschweig 1854. S. 495-568.—E. Hering, Archiv. f. Anat. u. Phys. 1865. S. 153.— Ed. Meyer, A. f. 0. IX. 3. S. 215; kl. Monatbl. 1864. S. 55, 58.—Haas, Derde Jaarl. Verslag. Utrecht 1862. S. 137, 190-208.—Alf. Graefe, Klin. Analyse d. Motilitiitsstorungen d. Auges. Berlin 1858. S. 56-96, 214-279 ; kl. Monatbl. 1863. S. 126-ls6, 312, 521-528 ; A. f. O. XI. 2. S. 1- 46.—Pagendecher u. Samisch, kl. Beobachtungen. I. Wiesbaden 1861. S. 63-69, II. S. 36.—Hirsch- mann, ibid. III. S. 89, 92.—Colsmann, Deutsche Klinik. 1865. Nr. 23 —Secondi, Clinica oc. di Genova. Torinol 865. P. 111.—Mooren, Kl. Monatbl. 1863. S. 37, 417-423, 1864, S. 64.— Knapp, A. f. O. VIII. 2. S. 227; kl. Monatbl. 1863. S. 471-484, 1S65, S. 346, 351, 3. Jahresber. Heidel- berg 1864-5. S. 2Q.—Schweigger, Kl. Monatbl. 1867. S. 1-81.— Javal, ibid. 1864. S. 404, 437.— Liebreich, A. f. O. XII. 2. S. 298-307.—Crittchet, nach Niemetschek, Prag. Vierteljahrschr. 78. Bd. S. 96 —Guerin, Congress intern, d'opth. Paris 1863. P. 195; nach Graefe A. f. O. III. 1. S. 372. [Agneiv.— N. Y. Med. Journal. Vol. 5, 1866. Trans. Am. Oph. Society, 3d year.]$