A report of the cases attended at the Birmingham Eye Infirmary, during the year 1838 and 1839 / by Richard Middlemore, Esq.

  • Middlemore, Richard, 1804-1891.
Date:
1841
Catalogue details

Licence: Public Domain Mark

Credit: A report of the cases attended at the Birmingham Eye Infirmary, during the year 1838 and 1839 / by Richard Middlemore, Esq. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    drew out a portion of iris, which, as I could not excise it with the curved scissors without a risk of touching the capsule or dislocating the lens, I left to be strangulated between the lips of the incision of the cornea. The iris bled a good deal after the operation ; but by keeping the patient quiet in bed, and by the adoption of various antiphlogistic measures, the effused blood was absorbed, acute in- flammation was prevented, and the patient's vision so far restored that he has this day read to me, with tolerable ease, and without glasses, a portion of the former part of his case published in the sixth volume of the Transactions. The pupil I have made has a smooth margin, being formed, not by excising a portion of iris, but by detaching its pupillary mar- gin from the staphymatous cornea, to which it was extensively adherent; it is of good size, being neither very large nor unusually small; it is some- what oval in shape, and extends from the upper border of the staphyloma nearly to the corneal mar- gin at its superior part, where I made the incision. On reviewing the entire circumstances of this case, which 1 cannot but consider to possess various points of interest for the surgical practitioner and student, it has been my wish to ascertain if any proceedings different from those employed could have been adopted with a chance of conferring greater benefit on the patient. Would it have been possible by any other metliod to have removed the the staphyloma without injuring the transparent portion of the cornea, producing opacity of the lens and its capsule, or occasioning collapse of tiie eye- ball ? Or would it have been practicable, by the