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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    slight catarrh; in one the section leaked ; and five made an uninterrupted recovery. Vision = M.B.E. at from one to two metres in three cases, from 2 ■ 5 to three metres in three cases, six metres in two cases, and 0 in one case. 9. Irideotomy after delivery of lens in eight cases; all of these were very nervous patients who squeezed out the lens as soon as the section was completed and so gave no chance of doing the iridectomy in its usual order; three made an uninterrupted recovery ; two had slight catarrh ; one had prolapse of the iris, calling for subsequent excision ; one had an escape of vitreous ; and in one the flap slid down and there was slight keratitis. Vision = M.B.E. at from one to two metres in four cases, and from 2-5 to three metres in four cases. 10 Involuntary iridectomy during section in 19 cases. In three the chamber was very shallow ; in one a sudden movement of the patient caused the escape of the aqueous and the iris had to be transfixed in order to introduce the knife across the chamber ; and in 15 cases the patient would not look down at all or else made sudden upward movements during section. Six cases recovered without interruption, four had slight catarrh, in three tags of the iris prolapsed, in three there was hyphsemia, in one the section leaked, in one vitreous escaped, and one suppurated. Vision = M.B.E. at from one to two metres in eight cases, from 2’25 to three metres in six cases, 3-5 metres in two cases, and six metres in one case. Fingers were seen at one metre in one case and there was no vision in one case. 11. Section too small in 10 cases; in one case the section had to be enlarged and there was subsequent keratitis ; in two cases the sections leaked ; four made an uninterrupted recovery ; two suppurated (the vectis was used in one) ; and one had escape of vitreous and subsequent irido-cyclitis. Vision = M.B.E. at from one to two metres in six cases, 3-5 metres in one case, and 0 in three cases. 12. Laceration of the capsule was difficult in five cases ; in three it was lacerated with the knife (in one of these the whole of the iris was caught and torn away by the irrigating scoop owing to a sudden movement of the patient at a time when an unskilful assistant had neglected to keep a stream of water flowing through the nozzle), and in one the lens