Glaucoma after extraction of cataract / by E. Treacher Collins.

  • Collins, E. Treacher (Edward Treacher), 1862-1937.
Date:
[1890]
Catalogue details

Licence: Public Domain Mark

Credit: Glaucoma after extraction of cataract / by E. Treacher Collins. 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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    being produced. In only one patient have I seen the glaucoma permanently relieved by an operation, and that is in the case whicb has been shown in the next room. In this patient, as in the other cases, there was an adhesion of lens capsule to the extraction scar. The glaucoma fol- lowed on a needle operation two months after the extrac- tion. Paracentesis of the anterior chamber failed to relieve the tension. An iridectomy was performed out- wards ; an incision being afterwards made in the lens capsule, a bead of vitreous then presented and was cut off. Microscopical examination of the cornea in one case in which sclerotomy had been performed showed the scars of both the extraction and the sclerotomy; the latter was not nearly peripheral enough to have opened up the angle of the anterior chamber, which in this case was blocked by the foremost of the ciliary processes. Case 1. Glaucoma coming on a year and nine months after extraction.—Maria M—, set. 50, was admitted to Moorfields Hospital on December 10th, 1883, with a complete cataract in her left eye and an immature one in her right. The left was removed by a modified Grraefe's extraction the following day. The operation was uncomplicated. Some soft cortical matter remained behind. Slight iritis and ciliary injection followed on the operation, also some conjunctival irritation and supra-orbital neuralgia. Ulti- mately she obtained good vision, and was able to see to sew and read. A-bout a year and nine months after the operation the sight began to fail rapidly without much pain. She had had no injury to the eye, and was unable to account for the failure of sight in any way. On examination of the eye there was found to be slight deep-seated congestion. Haze of the cornea. Entangle- ment of the iris in both angles of the cicatrix. Deep cupping of the optic nerve. V. = perception of light only. T. + li. The eye was excised on October 16th, 1885. Pathological examination.—Eyeball somewhat altered in