Philosophical transactions, Vol. L. Part II. For the year 1758.: Giving some account of the present undertakings, studies, and labours, of the ingenious, in many considerable parts of the world.Various
History
Philosophical transactions, Vol. L. Part II. For the year 1758.: Giving some account of the present undertakings, studies, and labours, of the ingenious, in many considerable parts of the world.
Various
Science -- Periodicals
The eye appeared to these gentlemen as I have related: and upon Mr.
Want’s pressing with his finger on the pupil, the globe burst at the
edge of the _Iris_, and discharged pus. The extirpation of the eye was
unanimously agreed upon, and immediately performed.
Mr. Hopkins made a puncture with a lancet close to the external and
small canthus of the eye, and then with a pair of crooked scissars took
off all the distended globe close to the eye-lids. He then cleaned the
cavity of the purulent humours, and filled it with soft lint, over
which he applied bolsters dipped in warm red wine and water, and the
_monoculus_ bandage to keep on the whole dressings. The lad was bled
in the arm; nitrous medicines, and anodynes, were prescribed, and a
suitable regimen. The fever, and inflammation of the eye, gradually
decreased; the suppuration of the wound in few days was good, the
distended eye-lids contracted, and a cure was soon expected.
But on November the 7th the lad went to open the street-door, and
it being a cold and rainy evening, he quickly felt the bad effects
of the cold wind, which drove the rain in upon him. That night the
wound became again very painful, the eye-lids puffed up, and next
day appeared much inflamed, as were all the contents of the orbit.
Fungous excrescences soon followed, and an intermittent fever. An
emetic being improper, he was purged with rhubarb, and afterwards took
the bark infused in red wine. The fever was removed after some time;
but the contents of the orbit continued increasing, and the fungous
excrescences became so large and spongy, as to be of equal bulk with
the diseased eye before extirpation. All topical applications, to
contract this fungus, were ineffectual, and the application of caustics
or escharotics was prudently avoided, lest they should produce a
carcinomatous ulcer. The discharge was chiefly a purulent serum: on
which account, ever since the beginning of November he was kept upon a
dry diet.
In February 1757. the remaining coats of the eye began to appear at
the most prominent parts of the excrescence, and seemed white like a
part of the _conjunctiva_. On touching it with the finger, a distinct
fluctuation was felt, and an _hydrophthalmia_ perfectly discovered; but
neither the thickness of the coats, nor the sensibility of the parts,
would permit a puncture to be made, till the cyst, which appeared
formed by the distension of one of the coats of the eye, was freer from
the fungus.
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