Treatment of the diseases of the eye, by means of prussic acid vapour, and other medicinal agentsTurnbull, Alexander
Science
Treatment of the diseases of the eye, by means of prussic acid vapour, and other medicinal agents
Turnbull, Alexander
Eye -- Diseases; Hydrocyanic acid -- Therapeutic use
GEORGINIA LARKINS, aged 10, at No. 25, Grafton Street, Newport Market,
and at the Blind School, Queen Square. Her aunt states that this
patient has been blind since she was six days old, in consequence
of an attack of inflammation, which gave rise to a great discharge
from the eyes. In her infancy fluids of various kinds were injected
underneath the eye-lids, and when four months old she was taken for
three years regularly to an Ophthalmic Hospital, where she was told
that the right eye was destroyed. The left eye had caustic applied
to it for a length of time thrice a week. Ointment was then applied
underneath the eye-lids until the eye became so very large that she
was at last told that it was a hopeless case, and that no more could
be done for her. Her next visit was to an eminent oculist, who said
he would not undertake the treatment of such a case. She then went to
another Ophthalmic Institution, where she remained for about two years
without deriving any improvement in her sight; but she was relieved
from much pain.
I saw her first on the 6th of April, 1840, when the appearance of the
left eye seemed to be at least twice the size of a natural eye. It
was of a dark-blue colour, standing out beyond the lids; and where the
pupil ought to have been, there was a blue circular ring of lighter hue
than the rest of the eye, and in the centre of this ring was a white
body about the size of a pea.
The right eye was quite a contrast, for it appeared perfectly white,
without the slightest appearance of iris or pupil. The eyes were
continually rolling about in their sockets. Looking at the little
creature, I said, "What do you expect me to do in such a fearful case?"
Without waiting for a reply, I said, "I will endeavour to diminish the
size of the eye, but unquestionably no hope can be held out that I can
restore the use of sight."
I at first put, daily, a drop of castor oil into each eye, occasionally
substituting for the castor oil the oil of almonds. This treatment
in about two months diminished much the size of both eyes, and the
opacity of the right eye greatly decreased; so much so that a little
edge of the pupil became visible, and the child began to see, and in
four months she could walk alone. Shortly afterwards the pupil could
be distinctly seen, and there appeared a white speck upon the anterior
capsule of the lens. She ceased to be a patient of mine in December,
1840, but returned in January, 1842, when the prussic acid was daily
applied to both eyes. The left eye is diminished about one-half in
size, and light is becoming perceptible. The right has assumed a
healthy appearance; the cornea is transparent, and there is still a
spot upon the capsule, about the size of the eighth part of the pupil.
This does not appear to impede the vision. She can now read, with the
eye, the raised letters with great quickness. She was formerly taught
to read the letters with her fingers; she is also learning to read
common print.
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