The seven books of Paulus Ægineta, volume 2 (of 3) : $b translated from the Greek: with a commentary embracing a complete view of the knowledge possessed by the Greeks, Romans, and Arabians on all subjects connected with medicine and surgeryPaulus, Aegineta
History
The seven books of Paulus Ægineta, volume 2 (of 3) : $b translated from the Greek: with a commentary embracing a complete view of the knowledge possessed by the Greeks, Romans, and Arabians on all subjects connected with medicine and surgery
Paulus, Aegineta
Medicine; Medicine, Arab; Medicine, Greek and Roman
The description of the operation given by Aëtius from Leonidas being
nearly the same as that described by our author, we shall confine
ourselves to an abridged account of it, and merely make a few remarks
to illustrate the description of Paulus. In order to facilitate the
operation, he recommends the operator to have two assistants instead of
one, as directed by our author. He also recommends him, in the first
place, to mark with ink the portion of skin which requires to be cut
out. He then directs him to make the under-incision, by which he seems
to have meant an incision within the ciliary hairs along the tarsus, and
extending from canthus to canthus. He recommends it to be made pretty
deep, and even in certain cases suggests the propriety of making two
under-incisions, one as above described within the ciliary hairs, in
order to relax the tarsus; and the other upon the preternatural hairs.
He next directs first a transverse incision to be made along the eyelid
above the ciliary hairs, and then a lunated one beginning and ending like
the other, after which the skin, thus separated, is to be dissected out.
He recommends the edges to be united by means of five sutures, one in
the middle and two at each extremity of the incisions. The other steps
of the operation are exactly the same as those described by our author,
and cannot be misunderstood. Hippocrates describes an operation for
trichiasis, which Heister thought the same as that recommended by Aëtius,
but the description is so obscure that we must confess our inability to
explain it.
Celsus describes three methods of cure for trichiasis. 1. By burning the
roots of the hairs. 2. The anabrochismus, which will be explained in the
13th section. 3. The anarrhaphè or suture, as described by Aëtius and our
author. As the steps of the operation described by him are almost exactly
the same as those of Aëtius, we need not dwell upon the explanation
of them. Lest, however, there should be any misapprehension about
the under-incision, we shall give his directions about it in his own
language: “præter hoc, in superiore palpebrâ sub pilis ipsis incidenda
linea est ut ab inferiore parte diducti pili sursum spectant; idque si
levis inclinatio est, solum satis est.” Instead of five sutures, as
directed by Aëtius, he recommends only three.
Public-domain text, read in full here on John Shaqi.
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