Publisher's Synopsis
This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1897 edition. Excerpt: ...with rheumatic com plications. But in using very cold applications, watch out for haziness of the cornea, when they must be discontinued (Helfrich, Schenck). Now, though this seems paradoxical, warmth is a valuable means of treatment in some cases, and is especially valuable in relieving the pain at night. Let it be dry rather than moist beat. If it has been found that a previously existing synechia is an exciting cause, an iridectomy will be in order, and also later, if other treatments are ineffectual. Of course the underlying cause must be cared for, whatever it may beiris scissors, and cocaine 4%. Introduce between the lids the speculum. With the fixation forceps grasp the conjunctiva directly opposite the point of incision (on the opposite side of the cornea, understand), and thus control the eyeball. (A full dose of chloral hydrate is good in irritable patients). The keratome is inserted about a line from the corneo-scleral margin into the cornea, and introduce the blade so as to divide as little tissue as pos Fig. 49. Tumors.--Not much to be done. Simple and malignant, as met with elsewhere. If of sufficient import to render it necessary, excise them. Avoid, if possible, in excising cysts, rupturing their walls, if of a serous nature, for the serous cyst is simply distended iris tissue, and is translucent in appearance. There is a condition rarely, very rarely, met with, which I merely mention, called Membrana Pupillaris Persistans. During gestation the pupil is closed by a membrane, and occasionally some part or all of it remains. Fig. 50. Iridectomy.--(Excision of a portion of the iris; removal of the entire iris is iridavulsion.) Iridectomy demands a speculum, fixation forceps, an angular or straight keratome, or Graeffe knife, ..