Front matter
YALE MEDICAL LIBRARY
HISTORICAL LIBRARY
TREATISE
SECTION II. Inflammations of the eye-lids and their
consequences 97
Inflammation of the cellular texture ;
abscess ib.
Erysipelatous inflammation of the lids .. 98
OSdema ib.
Emphysema 99
Ophthalmia tarsi ib.
Catarrhal inflammation ib.
Lippitudo 100
Psorophthalmia 103
Scrofulous inflammation ib.
Inflammation of the lids with ulceration ib.
Hordeolum 104
Secondary inflammations 105
Thickening and induration of the margins (tylosis) 106
Loss of the eye-lashes (ptilosis) ib.
SECTION III. Ulcerations 107
Syphilitic diseases ib.
Syphilitic ulcerations 108
Cancer of the lower eye lid Ill
Section IV. Page
Changes of figure and position 119
Ptosis ib.
Lagophthalmus 121
Paralysis of the orbicularis palpebrarum ib.
Blepharospasmus ib.
Ectropium 122
Operations of Jaeger and Dieffen-
bach 12.3
Operation of Jaeger for lagophthalmus 124 Transplantation of skin for the repair
or restoration of the lids 125
Entropium 126
Treatment by concentrated acid ; by removing a portion of skin 128
Operations of Messrs. Crampton and
Guthrie 129
Excision of the cilia 130
Trichiasis 131
Distichiasis 132
SECTION I. Wounds of the globe 140
Conjunctiva ; ecchymosis, accidental
and spontaneous ib.
Wounds of the globe, their nature and
general treatment 141
Cornea 112
Foreign bodies in the anterior chamber 143
Gunshot injuries of (be eye 144
Injuries by exploded percussion caps.... 145
Wounds of the cornea with prolapsus
iridis 146
Injuries of the eye from gunpowder ib.
Sclerotica 147
Iris 148
Detachment of the iris from the ciliary
ligament 149
Effusion of blood into the anterior
chamber 150
Discolouration of the iris or aqueous
humour ib.
CONTENTS.
Vll
Wounds of the choroid and ciliary body — effusion of blood before or behind
the iris 1.51
Crystalline lens and capsule 1.52
Traumatic cataract 154
Dislocated lens forced through the sclerotica 15.5
Extraction of the dislocated lens 156
Vitreous humour 157
Retina ib.
Sympathetic influence on the uninjured
Cases of amaurosis, internal inflammation and atrophy from injuries lfilj
Cases of sympathetic inflammation affecting the opposite eye 162
Section II
Injuries of the eye from foreign substances passing between the lids 163
Various irritating matters ib.
Effect of lime 164
Particles of dust under the upper lid ... 1(>'.5
Metallic particles sticking in the cornea 166
Chapter IV. Causes Of Ophthalmic Inflammation
Immediate or exciting causes 169
Injuries; chemical irritants ib.
Contagious matters ; excessive exertion ; atmospheric causes 170
Strong lights 171
Remote or predisposing causes 173
Light or dark eyes — morbid dispositions ib.
Excessive exertion of the organ 174
Unhealthy states of constitution ib.
Plethora 175
Constitutional weakness 176
Determination of blood to the head 177
Disordered functions and deficient excretion ib.
Impaired nervous energy 178
Idiopathic and sympathetic inflammations 179
Chapter V. Treatment Of Ophthalmic Inflammation
SECTION I.
Treatment of acute inflammation 180
General indications 181
Loss of blood 182
General bleeding ib.
Local bleeding — cupping 18.5
Leeches — scarifications 1 86
Purgatives and diet 187
Other internal remedies ; antimony 188
Mercury; counter-irritation 189
Local applications 190
SECTION II.
Treatment of chronic ophthalmia 194
General means 19.5
Local measures ; counter-irritation 197
Use of stimuli and astringents; vinum
opii 198
Various saline substances in solution. .. 200
Nitrate of silver ib.
General summary of treatment in ophthalmic inflammation 202
Chapter VI
DIVISIONS AND CLASSIFICATION OF OPHTHALMIC INFLAM- MATIONS. SIMPLE AND CATARRHAL INFLAMMATION OF
THE CONJUNCTIVA.
Divisions and classification 204
Simple inflammation of the conjunctiva 206 Catarrhal ophthalmia; its nature and causes ib.
Symptoms 208
Prognosis; diagnosis; treatment 210
Use of astringents 212
CONTENTS.
Chapter VII
PURULENT OPHTHALMIA. PURULENT OPHTHALMIA OF
NEWLY-BORN INFANTS.
PAGE
Nature and general character of purulent ophthalmia 215
Symptoms and progress ib.
Effects 218
PAGE
Mode of examining the eye 219
Causes 221
Prognosis; treatment 224
Purulent ophthalmia in children 228
Chapter VIII. Purulent Ophthalmia In The Adult
Symptoms and progress 232
Purulent ophthalmia in its milder form 234
Effects of the inflammation 239
Diagnosis; prognosis; causes 242
Direct communication by application of
discharge 243
Indirect or atmospheric contagion 249
Arguments against contagion 250
General result of evidence respecting
contagion 252
Treatment of acute purulent ophthalmia 256
General measures ib.
Local applications 259
Astringents and tonic medicines 2G0
Treatment of purulent ophthalmia in
its milder form 263
Treatment of the thickened and granulated conjunctiva 264
Chapter IX. Gonorrheal Ophthalmia
SECTION I.
Acute gonorrhoeal inflammation of the
conjunctiva 269
Symptoms and progress ib.
Effects; sloughing of the cornea 272
Suppuration and ulceration 273
Interstitial deposition 274
Diagnosis; prognosis 275
Causes 276
Direct application of gonorrhoeal matter 277
Metastasis 279
Incisions of the sclerotic conjunctiva... 283
SECTION II.
Mild gonorrheal inflammation of the conjunctiva 289
Section III. Page
Scrofulous constitution ; exciting causes
of scrofula 29G
Symptoms and course of scrofulous
ophthalmia 298
PAGE
Effects 300
Prognosis 302
Causes; treatment; general means ... 303
Local treatment ib.
CHAPTER XL
VARIOLOUS, MORBILLOUS, AND SCARLATINOUS OPHTHALMIA.
Variolous ophthalmia 310 I Morbillous and scarlatinous ophthalmia 315
Secondary variolous ophthalmia 314 |
Chapter XII. Various Affections Of The Conjunctiva
Granulated conjunctiva — ulcers 31G
Pterygium; general description 317
Pterygium tenue; crassum 319
Malignant pterygium ? diagnosis 320
Pterygium pingue 322
Dry conjunctiva 322
Discolouration of the conjunctiva by
nitrate of silver 324
Polypi, warts and other excrescences... 325
Cartilaginous formations 326
Tumours 327
SECTION I. General account of iritis and its treatment 393
General character of iritis ib.
Change of colour; effusion of lymph... 394
Abscess 395
Motions of the iris, and state of the pupil 398
Increased redness of the eye ib.
State of the cornea and aqueous humour .">!).')
Intolerance of light, and pain 400
( ieneral symptoms ; progress and extension of the inflammation 401
Effects; gradual recovery; change of
texture and colour in the iris 402
Adhesions of the pupil 403
Adventitious membranes 404
Closure of the pupil ; atrophy of the globe and synchisis 405
Impaired vision ; causes 406
Whether iritis is caused by the use of mercury? prognosis 408
Treatment; antiphlogistic means; mercury 410
Whether the use of mercury is essential 112
Beneficial action of mercury after or with direct depletion 414
Caution against its indiscriminate and excessive employment 415
Its favourable action in small doses under certain circumstances 116
Lmal employment of mercury 417
CONTENTS.
PAGE
Belladonna 417
Operation of mercury 418
Local applications ; blisters... 4'21
Oil of turpentine ib.
Chapter XVII. Malformations And Various Affections Of The Iris
Congenital deficiency 433
Coloooma iridis 434
Change of colour; spotted iris; prolapsus iridis 435
Synechia anterior and posterior 437
Fungous excrescences from the iris and
ciliary body
Tumours growing from the iris 43.9
Myosis; mydriasis 440
Tremulous iris 441
Section IV
Operation by separation ; coredialysis. 4G5 The operation of Scarpa and Schmidt ib.
The operation by detachment and strangulation 4G8
Laxgenbeck's operation ib.
Reisinger's double hook 471
Operation by separation and excision... 472 Formation of an artificial pupil in the
sclerotica 474
Section IV
Amaurosis from affection of the retina 521 Symptoms of amaurosis ; impaired and
altered sight 525
Progress of the disease 528
State of the pupil and iris 529
Other symptoms 532
Causes ; age ; the disease sometimes
congenital 533
Hereditary disposition ib.
General causes ; plethora 535
Excessive exertion of the crgan ib.
Sympathetic influences 536
Gout and rheumatism 537
Narcotic poisons, and various other substances 539
Diagnosis; Prognosis 541
Treatment; antiphlogistic measures;
use of mercury 543
Counter-irritation 545
Cases 547
Local applications 556
Emetics ib.
Electricity 559
Sternutatories; stimuli and tonics 560
Use of strychnia 563
Section V
Particular kinds of nervous affection... 565 Affection of the retina from excessive
exertion h66
Symptomatic and sympathetic amaurosis 568
Amaurosis from debility 570
Amaurosis from affection of the nervus
trigeminus 577
A maurotic cat's-eye 579
MuscEe volitantcs 581
I Icmeralopia 584
Congenital and hereditary hemeralopia 586
Nyctalopia 587
Want of power to distinguish colours... 588
SECTION VI. Near sight and for sight 591
Nearsightedness; myopia 592
Farsighted ncss 59S
Section I
General description of the disease; its causes and treatment; various operations 597
Colour and situation of the opacity:
state of vision 598
State of iris and pupil 599
Various species of cataract; the lenticular 600
CONTENTS.
Mil i ■ w , i
Morgagnian cataract 603
Capsular cataract 604
Capsulo-lenticular cataract 605
Varieties of colour and consistence ... 608 Mature and immature; complications;
adhesions of the pupil 609
Glaucoma — amaurosis 610
Varieties dependent on age ; causes ... 611
Operations 615
Preparation of the patient ib.
Various operations 617
SECTION II. Question of operating on both eyes at
the same time ib.
Instruments; various knives 619
Position of the patient 620
Fixing the eye 621
Division of the cornea ib.
Superior section 622
Division of the capsule and removal of
the lens 625
Escape of vitreous humour 627
Exterior and inferior seetion ; inferior
section 628
Treatment after the operation 629
Prolapsus iridis 633
Cases fit or unfit for extraction 634
SECTION III. PAGE declination <i:57
After treatment 638
Absorption of the depressed lens 639
Section IV
The operation by solution or absorption 642 Whether the lens is removed by absorption or solution 644
Danger from the passage of a bard lens or bard fragments into the anterior
chamber 645
Capsule not absorbed 646
Kcratonyxis ih.
Operation when tho capsule is opaque, and the pupil adherent 648
SECTION V. Congenital cataract ; its nature ib
Whether really congenital 649
Affecting several members of the same
family 650
Operation on infants 651
Operation on opaque capsule 652
Various proceedings 653
Anterior operation on the infant ib.
Posterior 654
Proper age for the operation 655
Secondary cataract 657
Section III. Page
Fungus hsemntodes of the eye 685
Symptoms and progress ib.
Seat and nature of the disease 688
Diagnosis ; cancer and melanosis ; age
of the patient 696
Effusion of lymph after injuries 697
Effusion of pus from internal inflammation 699
Yellow appearance in the pupil of
doubtful seat and nature ib.
Treatment; question of extirpation ... 701
Cases of supposed success 702
Proposal of evacuating the globe at an
early period 704
PAGE
Objections 705
Use of mercury 706
Cases of fungus heematod.es 709
SECTION III. Entozoa in the eyes of man and other
vertebralia 735
Filaria in the aqueous humour ib.
Filaria under the conjunctiva and in
the lens 736
Monostoma and distoma in the lens ... 737
Cysticercus in the anterior chamber ... ib.
Cysticercus in the subconjunctival tissue 740
SECTION VIII. Affections of the muscles in the orbit... 769
Injuries — paralytic affections ib.
Ophthalmoptosis — irregular motions ;
nystagmus; tetanus; monoblcpsis ... 770
Squinting; general description 771
Causes 773
State of the affected muscles 775
Thickening and induration of the cellular texture 777
Operation of dividing the recti muscles 779
Cases proper for the operation ib.
Position of the patient 781
Operation on the internal straight muscle with the curved director and
knife 782
PAGE
Operation with forceps and scissors 784
Operation with blunt hook ib.
Specula for separating and fixing the
eye-lids 786
Double convergent strabismus 788
Treatment after the operation 789
Effects of the operation on the internal
straight muscle 790
Effects on the position and motions of
the eye ib.
Effects on vision 791
Causes of failure in the operation 792
Incomplete division of the tendon or of
cellular adhesion 793
Unnatural eversion ; prominence of the
eye 794
Luscitas 796
CHAPTER XXV.
AFFECTIONS OF THE LACRYMAL ORGANS.
SECTION V. Affections of the lacrymal sac and nasal
duct 806
Capillary aperture of the sac 807
Inflammation of the internal angle ib.
Acute inflammation of the sac ib.
Chronic inflammation of the lacrymal
sac 810
Permanent obstruction of the nasal duct 813
Hernia sacci lacrymalis ib.
Hydrops sacci lacrymalis 814
Various modes of treatment ; probe and
syringe ib.
Injection of the sac with quicksilver ... 815
Tube in the nasal duct 816
Enlargement of the duct by catgut 817
Introduction of instruments from the
nose 818
Use of the silver style 819
TREATISE
DISEASES OF THE EYE.
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