The Indian operation of couching for cataractElliot, Robert Henry
History
The Indian operation of couching for cataract
Elliot, Robert Henry
Cataract -- Surgery -- India; Ophthalmology -- India -- History
=Macroscopic Cysts of the Retina.=--It remains to speak of larger cysts
of the retina which can be recognised by the naked eye. It has already
been mentioned that, in those cases in which this membrane has been
found to be tightly folded on itself, a pseudo-cystic condition is
thereby produced; the cavities of these false cysts are merely shut-off
portions of the original vitreous chamber. Of a quite different nature
are the true cysts of the retina, three examples of which are to be
found in this collection. In one (Pl. II., Fig. 12) a narrow
slit-like cyst is seen in the outer layers of the detached retina at
its lower part. In the second, a whole-section of the globe shows a
large cyst occupying the central region, the macular area forming a
portion of its wall (Pl. VII., Fig. 44). Lastly, in the
third a large round cyst can be seen to the temporal side. A point of
interest in connection with this specimen is that it shows both true
and false retinal cysts (Pl. III., Fig. 19, and Pl. V.,
Fig. 31).
=The Choroid.=
It remains to add a few words to what has already been said about
this membrane. The great majority of the changes we have found in it
are, clearly, to be attributed to the effects either of hypertony or
of hypotony of the eye; they do not, therefore, differ from similar
appearances found under the same conditions generally.
Compared with detachments of the retina, those of the choroid are rare
in this series. In one instance, already mentioned, the two membranes
had been displaced together by the instrument used in couching
(Pl. V., Fig. 30). In another, in which severe inflammation
had occurred, the retina and choroid had adhered to each other, and
had been detached as one sheet by the contraction of an exudate, which
lay in the neighbourhood of the iris and ciliary body and in the front
part of the vitreous cavity. In a number of other globes, in which
the tension was low, the ciliary body and the anterior portion of
the choroid were found separated from the sclera as far back as the
line where the anterior segment of the latter coat was drawn over the
posterior in the manner pointed out by Treacher Collins in his work on
Hypotony (Trans. of the O.S. of the U.K., 1917).
Public-domain text, read in full here on John Shaqi.
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