Ophthalmic notes / by C. R. Agnew.

  • Agnew, Cornelius Rea, 1830-1888.
Date:
1874
Catalogue details

Licence: Public Domain Mark

Credit: Ophthalmic notes / by C. R. Agnew. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    so matted iris as to make any operation for secondary cataract hopeless. Tliis eye waa enucleated some months afterwards by Prof. Bacon, of New Haven, who did a Liebreicli upon fellow eye, resulting in useful vision. Case 29.—H., set. 75. Lenses have both begun to undergo secondary degeneration, have dark chocolate-colored nuclei, especially the left with striae, and veins of a whitish calcific char- acter mottling or marbling them. Eight eye probably involved in an injury of that side of face in childhood, as there ai'e exten- sive scars. Y.=counts fingers in one foot. Patient is an old rheumatic, has marked senile marasmus, and is very feeble. Y.= L. E. perception of light only. ISTo limitation of visual field; phosphenes present. October 13, 1874: L. E. operated upon by Graefe's method. Mixture of equal parts of ether and chloroform given. The cornea was very flaccid, wrinkling after escape of aqueous; lens large and very dark-colored nucleus. No ac- cident during the operation nor loss of vitreous. Isinglass plaster and black silk dressing applied. October 14th: Has had little or no pain since operation. Slept well without hypnotic. During the night blood issued from beneath the dressings. This morning eye examined: blood oozing from ciliary region through wound. Atropia instilled; bandage and charpie applied. Had some bloody oozing, until 20th, vp'hen wound of cornea healed. On 30th October was discharged. Wound healed; coloboma still open and show- ing a dark, olive-colored, reflex. Y.= faint perception of light. Case 55.—J. K., 61. Had right eye injured and vision im- paired, by wound from foreign body, eight or ten years ago, re- sulting after some years in a cataract. Has a central scotoma; circumference of visual field unaffected. November 12,1873: Operated upon the right eye by Graefe's method, without antesthetic. Speculum and fixation forceps nsed, and section made easily. Iridectomy made in usual man- ner. This was immediately followed by gushing escape of vit- reous humor. Kemoved lens by means of a scoop, and was compelled by drainage of vitreous to leave some crumbs of cor-