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
Albucasis states that there are four modes of curing trichiasis. 1. By
the actual cautery. 2. By the potential cautery. 3. By incision and the
suture, which operation he describes at great length. He directs us in
the first place to evert the eyelid, either by taking hold of the ciliary
hairs, or by passing a needle, armed with a hair, through the tarsus, and
raising the eyelid with it. He then, like the others, directs us to make
the under-incision within the ciliary hairs, from the greater canthus to
the smaller, to cut out the redundant skin of the eyelid, and unite the
surfaces with sutures. In short, his operation is exactly the same as our
author’s. He mentions, however, another method of making the incision by
elevating the redundant fold of the skin with hooks or a trident, and
cutting it off with a pair of scissors. 4. The fourth method consists of
making the under-incision, as in the last operation, and then twisting
the redundant skin firmly about reeds or small pieces of wood until it
mortifies: after which the wound is to be cured upon general principles.
Serapion’s account of the operation is defective, and need not be
particularly noticed. Canamasuli directs us to cut out the hairs and burn
the part with a cautery of gold.
Avicenna merely mentions, in very general terms, that the cure may
be accomplished by agglutinative applications, by the cautery, or by
excision.
Mesue briefly describes four modes of cure: 1. By means of agglutinants.
2. By passing a needle, armed with a hair, through the tarsus, as will
be explained in the 13th section. 3. By plucking out the hairs and
cauterising the part. 4. By applying medicines calculated to prevent the
renewal of the hairs after they have been plucked out.
Jesu Hali’s description of these operations is very circumstantial; he
speaks of cutting out the piece of skin with a fine pair of scissors.
Rhases states that the cure of trichiasis may be effected by burning
the roots of the hairs with a red-hot needle, or by making the excision
of the superfluous skin of the eyelid. He also makes mention of the
treatment by agglutinants. In his great work, the ‘Continens,’ he briefly
notices the four operations described by Albucasis. He appears to have
approved very much of the burning. He also describes the operation with
the reeds or pieces of wood.
Avenzoar mentions four methods of curing inversion of the ciliary hairs.
1. By everting the upper eyelid and securing it with agglutinants until
the roots of the hairs have been cauterised with a rod of gold. This
method he does not approve of. 2. By extirpating the offending hairs and
applying the blood of a bat to the places from which they were torn.
3. By making an excision of the superfluous skin of the eyelid, and
afterwards applying sutures. He alludes, we suppose, to the operation of
Aëtius. 4. By twisting the skin about small reeds or tubes, in the manner
described by our author and Albucasis.
Public-domain text, read in full here on John Shaqi.
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