Dr. De Wecker's cataract operation with the statistical statement of the results / by Dr. Masselon ; translated by H. Macnaughton Jones.

  • Masselon, J. (Julien), 1844-1917.
Date:
1877
Catalogue details

Licence: Public Domain Mark

Credit: Dr. De Wecker's cataract operation with the statistical statement of the results / by Dr. Masselon ; translated by H. Macnaughton Jones. 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.

    11/18 (page 9)
    1 by reserving these cases for a inetliod of coinbineci ex- I traction. The tension of the eye, the mobility of the iris, the t capacity of the anterior chamber, the maturity and con- isistency of the cataracts, have been in each case the t subject of a careful and minute study, so that a reasonable i choice might be made concerning which operation it h would be advisable to perform. The following practical rules have then been drawn up ; 1st. All the eyes attacked by cataract, the tension of which exceeds the physiological condition (T=l of I Bowman), are dealt with by combined extraction. We are quite convinced that the mobility of the i sphincter, and its very strong contraction, stimulated still ;more by the use of a strong solution of sulphate of leserine (au ceniiime), could not give a sufficiently certain guarantee against the complications of a prolapse, which may be occasionally caused, even when the wound is iwell adapted, through an effort made by the patient some time after the operation. 2nd. Whenever a large portion of the cortex has retained its transparency, and the cataract presents la sufficiently marked degree of immaturity, we prefer to use the combined method which allows of a more prolonged and more exact evacuation of the :crystalline transparent masses accumulated at the capsule. By making the section sufficiently large, as has been stated in one of the preceding reports, it is possible after excision of the iris, to remove in their entirety immature cataracts, and thus allow the patient to have the benefit of the operation often several years before the time for which he would have had to wait for the full maturing of !the cataract. .