Catena of cases illustrating the use of forceps in extraction of cataract / by John F. France.

  • France, John Frederick, 1818-1900.
Date:
[1860?]
Catalogue details

Licence: Public Domain Mark

Credit: Catena of cases illustrating the use of forceps in extraction of cataract / by John F. France. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    man, with apparently healthy eyes, except for the presence of double cataract and arcus senilis, was received into Guy^s in June, 1859. The cataracts had been forming for three years, and been complete about six months. On June 15th the forceps were applied to the left eye, and an adequate flap was made at once without injury to the iris. Upon exerting the usual pressure after withdrawing the curette, the vitreous humour presented above the edge of the lens, bulged in the wound, and a small portion escaped. The eye was closed directly; a pause of a few moments was allowed; and then (as on again raising the lid, the cataract betrayed a disposition rather to sink behind the iris than to advance) I impaled it from behind Avith the curette, and brought it forth without further difficulty. The quantity of vitreous lost was incon- siderable ; but the pupil of course became drawn towards the wound, and the flap was prevented lying in perfect adjustment. However, the continuous support of the lid, carefully plastered, counteracted any material ill effect from this circumstance; for on the 20tli the section was adherent, the anterior chamber re- plenished, the degree of inflammation not in excess, and the vision satisfactory. Convalescence was progressive, though retarded for awhile by a quasi-vesicular elevation towards the temporal extremity of the wound, from yielding of the cicatrix. This gradually flattened down ; and on July 18tli the cornea was firmly healed, the pupil clear, but irregular from extension upwards, and sight good. He called on me afterwards to get an order for spectacles, having the eye strong, enjoying good vision, and full of gratitude. Case xxx.—Cataract complicated with granular conjunctiva, and synechia posterior; forceps-extraction; cure. A. B—, a stout woman, of about 60 or 65 years of age, had presented herself for operation in 1858, but been re- manded till the succeeding year, on account of the granular condition of the conjunctiva; which, though comparatively slight, Avas intractable. Fearing an ill result from ordinary extraction under these circumstances, I twice performed kera- tonyxis on the left eye, Avith the hope of diminishing the bulk of the lens; but the only apparent effect Avas the unfavorable
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