Practical observations on ectropium, or eversion of the eye-lids : with the description of a new operation for the cure of that disease ; on the modes of forming an artificial pupil ; and the description of some new instruments and operations for the cure of cataract, adapted to the different periods of life in which that disease is found to occur / by William Adams.

  • Adams, William, Sir, active 1814.
Date:
1814
Catalogue details

Licence: Public Domain Mark

Credit: Practical observations on ectropium, or eversion of the eye-lids : with the description of a new operation for the cure of that disease ; on the modes of forming an artificial pupil ; and the description of some new instruments and operations for the cure of cataract, adapted to the different periods of life in which that disease is found to occur / by William Adams. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    s devise some more effectual method of cure than any of those hitherto practised. With this view, I was led attentively to mark the appearance of the com- plaint in its most aggravated form, and to compare it with that of the eye-lids in a healthy state. The edges of the tarsi, if the upper and lower lids are free from disease, when the eye is closed, are very nearly parallel; but where the eversion exists in a consi- derable degree in the lower lid, its edge is forced down towards the cheek, and forms a line of a crescent like figure.* In consequence of this morbid change in the parts, so much of the exquisitely sensible membrane of the eye-lid becomes everted, as to prove a conti- nual source of pain and irritation to the patient, when exposed to heat or cold, sharp winds, dust, &c. Intolerance to a strong light, accompanied with an almost continual flux of tears, which chiefly flow over the cheek, and excoriate the integuments of the eye-lid and cheek, still further increase the sufferings of the patient. From repeated attacks of inflammation, which often give rise to opacities of the cornea, the conjunctiva at length becomes highly