Report of the cases attended during the year 1837 / by R. Middlemore.

Date:
[1838?]
Catalogue details

Licence: Public Domain Mark

Credit: Report of the cases attended during the year 1837 / by R. Middlemore. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    I relate this case (one of a series I am engaged in arranging) to illustrate the propriety of omitting the performance of a surgical operation, in many instances where the lens, not covered by its capsule, is dislocated by accident. I have tried both plans pretty extensively, and am assured that the removal of the lens may be generally dispensed with, with great advantage as regards the result, and with that important advantage as relates to the patient, which no humane surgeon should ever lose sight of—that of avoiding the infliction of unnecessary pain. The removal, through an incision of the cornea, of a lens displaced by a severe accident, when the eye has become, as it soon will do, inflamed and intole- rant of light, always occasions severe pain, and, in some instances, a degree of agony, which the forti- tude of a martyr can barely sustain. CHRONIC INFLAMMATION OF THE ORBITAL CELLULAR MEMBRANE. Joseph Hope, set. 22, complained of pain in the head, throbbing in the orbit, and a feeling as though the eye-ball was being extended from its socket. The eye, on careful examination, was found to be slightly protruded, but there was no sense of pulsa- tion conveyed to the finger, nor any appearance of infiltration of the orbital cellular membrane. The young man says he has received no blow or other injury to the eye. lie considers it to be occasioned by being out late on a cold damp evening. The complaint continued to increase, the eye became more and more protruded, the whole orbital