Ophthalmic therapeutics / by Geo. S. Norton.

  • Norton, Geo. S. (George Salmon), 1851-1891.
Date:
1882
Catalogue details

Licence: Public Domain Mark

Credit: Ophthalmic therapeutics / by Geo. S. Norton. Source: Wellcome Collection.

    279/374 (page 273)
    L^SIONES, ( Wounds and Injuries of the Sclera.) The treatment of wounds of the sclerotic varies according to their extent and situation. If any protrusion of the con- tents of the globe has occurred, it should he cut off and the edges of the wound approximated as closely as possible by the aid of a bandage or the introduction of a fine suture. The patient should be kept quiet in bed and ice compresses, with or without ajDplications of Arnica or Calendula solutions, em- ployed as may be most applicable from the nature of the in- jury, whether contused or incised. Aconite should be given internally. If the wound, however, is extensive, especially if in the cili- ary region, even though the vision is not wholly lost, enucle- ation is far the safer method of proceeding, in order that all danger of sympathetic trouble in the other (healthy) eye may be taken away. In all cases in which a large portion- of the globe has escaped and sight is irretrievably lost, enucleation is necessary. If there is a foreign body in the sclerotic, it should be re- moved, but if it has penetrated the sclerotic and is within the eye, it is usually necessary to enucleate, although its extraction may be attempted if there has not been too much injury to the ciliary body. The magnet has of late been highly recom- mended for the removal of steel or iron from the interior of the eyeball. 18