Before discussing the prevention of blindness in adults, I wish to say a
few words concerning the attitude of oculists toward patients suffering
from eye diseases which, in all probability, will result in loss of
vision. If, for some special reason, the oculist fears it would be
unwise to tell the patient that blindness is imminent, he should at
least urge him to conserve his remaining vision, and advise him to do as
many things as possible by touch, and warn him of the consequences of
eyestrain. But, whenever possible, it is kinder to prepare the patient
for oncoming blindness, so that he may shape his life accordingly, and
may be induced to learn to read raised type, and use a writing device,
before the light is entirely gone. Most of us exclaim over our trifling
hurts, the mosquito bites of life, but when the real trial comes, when
we know we must face a great crisis, we square our shoulders, take a
long breath, and meet the inevitable with courage and fortitude. I wish
the oculists could hear as I do the despairing cry of men and women who
were led, until the very last, to hope for a restoration of eyesight,
and then told that in their particular case, all usual remedies failed.
Dr Daval, an eminent French oculist, who lost his eyesight at sixty,
makes an eloquent plea to his colleagues to tell their patients the
truth, and, instead of treating them when they know that loss of
eyesight is inevitable, advise them to study methods used by the blind,
even though they may not need to use the knowledge for months or even
years.
There are a number of eye diseases that may be inherited, and those
having such diseases should be told that they will transmit them to
helpless, innocent children. The social evil is largely responsible for
the infections of which ophthalmia neonatorum is only one result, but
since this disease comes so often from a cause which is not generally
discussed, it is particularly hard to combat. Forty per cent of existing
blindness, and a vast amount of physical degeneracy, is the direct
result of venereal causes.
Certain forms of glaucoma may be inherited, and children whose parents
have had this disease should watch their own eyes very carefully, since,
if taken in time, the progress of this disease, in certain forms, may be
arrested. Persons who see rings around the lights should heed the danger
signal and see an oculist.
Retinitis may also be inherited. I have known of three generations
becoming blind from this cause.
Public-domain text, read in full here on John Shaqi.
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