The practical details of cataract extraction / by H. Herbert.

  • Herbert, H.
Date:
1903
Catalogue details

Licence: In copyright

Credit: The practical details of cataract extraction / by H. Herbert. Source: Wellcome Collection.

    111/142 (page 89)
    through the imperfectly-healed wound. The final result was, however, quite satisfactory. Spastic Entropion of the lower lid in old people, promoted by the bandage, may very rarely necessitate an early removal of the bandage, with, perhaps, the application of strapping to the lower lid for its relief. Of Mental Disturbance in old people, due to the covering of both eyes, or to confinement in dark rooms, I have had no experience (unless possibly in one patient, who without cause left hospital one night, and was found with his skull fractured by a fall from a bridge). Delirium tremens also, after operation, does not touch our work in India. The only troubles of this sort that we have had were a few cases of delirium from atropine-poisoning. Flatulent Distension of the abdomen is very commonly found in India, especially in private patients, the day after the operation. The patient has generally passed a sleepless night, and often has pain in his loins. These troubles are due to the patient having lain on his back, afraid of the smallest move- ment, thinking that his eyes might be injured thereby. AFTER-CATARACT. Membranous opacity after cataract extraction inter- feres with vision to an appreciable degree in perhaps the majority of cases, either immediately after operation, or by slow development even many years later. It results from the following, either singly or together : (i) Ab- normal proliferation of lens-cells; (2) imperfect absorp- tion of cortical remains, shut off from the aqueous by union of the two layers of capsule ; or (3) the deposit of lymph or blood-clot on the capsule, associated with one or more posterior synechiae. The first variety of opacity may, of course, date from before operation, particularly affecting the anterior capsule, but also at times the posterior capsule. (It is often impossible, a little time after operation, to distinguish between the anterior and