An analysis of a further series of 250 consecutive operations for primary cataract performed in the Government ophthalmic Hospital, Madras / by R.H. Elliot.

  • Elliot, Robert Henry, 1864-1936.
Date:
1903
Catalogue details

Licence: In copyright

Credit: An analysis of a further series of 250 consecutive operations for primary cataract performed in the Government ophthalmic 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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    8. There were 3 cases of iritis and 7 cases in which that condition threatened ; in every case active antiphlogistic and antiseptic treatment was adopted without delay and all made good recoveries. Vision = M. B. E. at from 1 • 75 to 3 metres in 9 cases and at 6 metres in 1 case. In all three cases of iritis an operation was required for the treatment of secondary cataract. 9. In only one of the 33 cases of keratitis was the con- dition at all serious; vision in this case equalled counting fingers at 2 feet; all the rest were slight cases and hardly even modified the course of recovery. 10. In 4 cases the flap was in faulty apposition and in 3 cases the fault was sufficient to require rectification, the flaps being replaced under cocaine ; all made good recoveries with vision = M.B.E. at 2 metres. 11. Spasmodic entropion occurred in 3 cases and was met in each case by the removal of all dressings, the eye being left open. In one of these cases the eye was again closed after the lid appeared to have recovered its tone, as the section had not closed ; the entropion recurred within 24 hours, causing free lacrymation, &c. ; on again opening the eye and leaving it open not only did the entropion subside but the section soon healed. Vision in the 3 cases = M.B.E. at 2'5, 4, and 6 metres respectively. 12. In one case a pterygium was inflamed; the conjunctiva had been in an unhealthy state before operation and had been treated for the same ; the patient rubbed the eye and burst the section and the prolonged bandaging thus rendered necessary irritated the pterygium. Convalescence was delayed and vision = M.B.E. at 1'5 metres. 13 In 16 cases capsulotomy was performed for secondary membranes ; of these cases 2 followed iritis, in 9 cases cortical matter had been left behind, in one blood was effused into the anterior chamber owing to an injury, and in 4 cases the capsule itself was at fault. Vision = M.B.E. at from 1 to 2-5 metres in 10 cases and at from 3 to 6 metres in 6 cases. In the case in which iridotomy was performed the pupil was blocked by a dense membrane the result of iritis ; after operation vision was M.B.E. at 2 metres.