Report of the cases attended during the year 1837 / by R. Middlemore.

  • Middlemore, Richard, 1804-1891.
Date:
[1837]
Catalogue details

Licence: Public Domain Mark

Credit: Report of the cases attended during the year 1837 / by R. Middlemore. 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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    Treatment.—-The lids were carefully closed after the operation, and a narrow bandage was lightly passed over them. The patient was directed to lie in bed, and to have her apartment darkened ; a little aperient medicine was administered, and the diet was lowered. By these means, perseveringly adopted for about a week, the patient was enabled to return home, and in about a fortnight afterwards she called upon me, when the following was the condition of the eye :—Nearly free from inflam- mation; pupil clear, but slightly drawn towards the incision of the cornea. The cornea is in no degree staphylomatous, and the wound inflicted at the time of the operation has healed very perfectly. The sight of the eye is entirely destroyed. TREATMENT OF STAPHYLOMA OF THE CORNEA. James Shephard, aet. 24, sustained a severe injury to the face some months ago, which produced col- lapse of the right, and occasioned the following condition of the left eye :—Two-thirds of the cornea at its lower part has become prominently staphylo- matous ; the pupil is closed, and the iris is adherent to the upper part of the staphyloma. The eye-ball is a good deal inflamed. The objects it was de- sirable to accomplish in this case were, first, to lessen the size of the staphyloma; second, to remove the ophthalmia; and third, to form an arti- ficial pupil. As one-fourth of the cornea, and a corresponding portion of the iris were healthy, it was, I repeat, desirable to make an effort to form an artificial pupil ; but, of course, before this was attempted, it