Traumatic cataract, with results of eighty-two operations : read before the International Opthalmological Congress, held in London, August, 1872 / by J.R. Wolfe, M.D., F.R.C.S.E.

  • J. R. Wolfe
Date:
1873
Catalogue details

Licence: Public Domain Mark

Credit: Traumatic cataract, with results of eighty-two operations : read before the International Opthalmological Congress, held in London, August, 1872 / by J.R. Wolfe, M.D., F.R.C.S.E. 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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    opaque and will soon require extraction. But the following case required an operation. Case X.—A.C., aged 21, riveter, was struck with a stone on his left eye. On presenting himself at the Ophthalmic Institution on the 4th December, 1871, two days after the accident had occurred, the eye was free of inflammation; the pupil was widely dilated; the zonula ruptured, and the lens within its capsule and pigmentous ring round its border, floating in all directions, fol- lowing the movements of the eyeball. Knowing the difficulties which beset the extraction of the lens under such conditions, I recommended to have the eye shaded for a few days, and to ab- stain for the present from all treatment. On the 14th December, the patient returned with violent glaucomatous symptoms : pain in the eyeball and temple excessive, whence it extended to the whole side of the head and ear in such a manner, as I have rarely met with in ordinary glaucomatous cases. Ophthalmoscopic ex- amination showed the lens beginning to exhibit opaque strife. Under these circumstances I admitted him into the house; and on the 15th I operated in the following manner:— 1. The patient was seated upon a chair with his head bent slightly forward, supported by an assistant; whilst I, sitting in front of him upon a lower chair, used the fingers of my left hand as a speculum to keep open the eyelids, and with the right I introduced a needle through the sclerotic behind the lens, which I brought forward into the anterior chamber. 2. I then handed over the needle, which fixed the lens in that position, to another assistant, and made the patient recline his head backwards, still leaning upon the assistant. 3. I now introduced the lance through the cornea behind the lens, part of which presented itself at once through the wound, and another portion slipped and then became fixed in the outer angle, covering the fourth part of the cornea. The patient was at once relieved of his pain, passed a quiet night, and on the tenth day was dismissed with good sight.
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