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Practical Remarks on the New Operation for the Cure of Strabismus or Squinting

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1840 Excerpt: ...he is satisfied by the occurrence of the above indication, "the patient," he says, "should be desired to open the eye by raising the lid, and to turn the eye inwards. If he cannot do this, the operation has been completed; but if he can do it in the slightest degree, the muscle, or its lateral cellular or tendinous attachments, has Vide Lancet, July 18, 1840. not been entirely divided, and the eye being again secured by the fore-finger or the elevator, the scissars are to be used, or the director is to be once more introduced, and the undivided part sought for and incised, when it will be found that the patient can no longer turn the eye inwards; and it is surprising how small a portion of attachment can do this, either on the under or upper part. In the earlier operations performed," he continues," I was not aware of this circumstance, and in two cases in which a slight turning inwards re-appeared a fortnight after the operation, I attribute it to this portion of membrane, which in all probability adhered to the posterior end of the divided muscle. It may also effect this slight turn from its connection either with the rectus superior above, or the inferior below, as the case may be. In five of the cures performed, the eyes would not at first turn outwards, although the sclerotic coat was rendered distinct to all present, for nearly three-eighths of an inch every way--which, indeed, ought always to be done to ensure success in double cases--and it was only by dividing the additional band of membrane or tendinous expansion I have alluded to, in three cases upwards, and in two downwards, that the operations were perfectly completed." Another test that the operation has been thoroughly performed is the capability the patient acqu... Hide synopsis

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