An analysis of a series of 500 consecutive operations for primary cataract performed in five months in the Government Ophthlamic Hospital, Madras / by R.H. Elliot.

  • Elliot, Robert Henry, 1864-1936.
Date:
1902
Catalogue details

Licence: In copyright

Credit: An analysis of a series of 500 consecutive operations for primary cataract performed in five months in the Government Ophthlamic Hospital, Madras / by R.H. Elliot. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    of the lens. All recovered sight. Vision = M.B.E. at from one to two metres in seven cases, and from 2'25 to three metres in two cases. 5. Lens delivered by patient squeezing the eye in 11 cases. Five made uninterrupted recoveries ; in one there was slight chemosis ; two had a tag of iris caught in section, which subsequently required excision ; in one during an iridectomy after expulsion of lens the patient moved suddenly and detached part of the iris-base, some vitreous escaping ; in one iridectomy was done after delivery of the lens and keratitis with faulty apposition of the flap ensued; and in one the iridectomy was partial and the conjunctiva was con- gested during the after-treatment. Vision = M.B.E. at from one to two metres in four cases, at from 2-5 to 3'5 metres in six cases, and at six metres in one case. 6. Lens delivered entire in capsule in 15 cases ; four made an uninterrupted recovery; two cases were not needled as the lens was tremulous and they made an uninterrupted recovery ; in one case an attempt was made to lacerate the capsule with the needle and repeated with the knife, and both failed, but an uninterrupted recovery followed; in one partial iridectomy was performed, with uninterrupted recovery ; in one the section leaked ; in one the patient jerked the knife out during the section and a tag of iris caught in the section was subsequently excised; in one the patient jerked the knife out and there was slight keratitis during convalescence ; in two there was slight catarrh and in one slight keratitis during convalescence; and in one there was a slight escape of vitreous followed by keratitis. Vision = M.B.E. at from one to two metres in seven cases, from 2’25 to three metres in four cases, and from 3'25 to four metres in four cases. 7. Delivery of lens by traction with forceps in two cases ; in one a disc of degenerated dried-up lens substance in its capsule was seized and removed bodily by means of iris forceps ; vision = fingers at three feet; in one a black capsulo- lenticular cataract which proved to be very bulky was helped out by traction with conjunctival forceps ; vision = perception of light only. 8. Iridectomy incomplete in nine cases; one suppurated; in one the lens was delivered in capsule ; in one there was