Traumatic prolapse of the iris and its treatment / by G. E. de Schweinitz.

  • De Schweinitz, G. E. (George Edmund), 1858-1938.
Date:
[1897]
Catalogue details

Licence: Public Domain Mark

Credit: Traumatic prolapse of the iris and its treatment / by G. E. de Schweinitz. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    the wound-edges, and uniting them with a suture; or, if no suture is used, allowing the wound to unite un- der a compression bandage. Personally, I am gov- erned by the following considerations in the manage- ment of this class of cases: If there are no threatening symptoms and no increase in the size of the prolapse, I leave it alone; if, however, there arise irritation from bandaging, ciliary congestion, and increase in the protrusion in spite of pressure, I abscise it, and, in recent years, close the wound with a suture. The following is a case in point : Case II.—Joseph P., an Italian laborer, aged about thirty-five, came to the Jefferson Med- ical College Hospital on May 29, 1896, with a small wound in the lower corneoscleral junction, through which there was a pear-shaped protrusion of the iris and sufficient adhesive inflammation to have closed the wound and restored the anterior chamber. A small amount of ciliary irritation surrounded the lesion. Vision equalled -f^. The media were clear and the fundus normal. In spite of a pressure bandage, the iris protrusion continued to grow; hence it was abscised, the edges of the wound pared, two silk sutures introduced, and the patient kept in bed for two days. He was dismissed at the end of the third day with a healed wound, restored anterior chamber, and ovoid pupil, such as one sees in a nar- row, downward iridectomy. He continued as an out-patient until the wound was free from irritation, and was not again seen until February, 1897, nearly a year after the original accident, when his eye was perfectly quiet, the scar scarcely detectable, and the vision | & with correcting glass. In a number of cases treated by abscission of the prolapse and suture of the wound, I have never seen