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
"I have been induced, for my own satisfaction, (in consequence of some
observations made by Sir George Sinclair, who had witnessed its effects
on patients under Dr. Turnbull's care), to give a very extended trial
to the prussic acid in cases of ophthalmic disease which might be
considered suitable for its application, and desire that the results
of some of the cases should be submitted to the consideration of those
of our profession who may take an interest in the subject I have,
therefore, made out a report of the following cases. In our present
state of knowledge it is impossible to explain the _modus operandi_
of the prussic acid; it will be sufficient, meantime, to observe
accurately, and merely give the results of treatment. In what kind of
cases it will be found most suitable can only be determined by further
inquiry and experience. If, however, the results prove permanent, the
prussic acid must occupy a very high place amongst our remedial agents;
and, possessing stimulant properties of a peculiar character, it may
prove useful under many circumstances where diseases of the eye are not
readily amenable to ordinary treatment.
"CASE 1.
"J. MACKAY REAY, aged 11 years. Diffused opacity of the cornea, the
result of a protracted attack of scrofulous ophthalmia. The vapour
of strong prussic acid was applied, daily, for thirteen days, by
exposure of the eye to it, during which period the cornea gradually
got transparent. On the fourteenth day no remains of former opacity
existed, and the vision of that eye was perfectly restored.
"CASE 2.
"MARGARET MACKAY, Thurso, aged 12 years. Severe rheumatic ophthalmia,
of three weeks' duration. She complains of deep-seated aching pain in
the eye-ball, greatly aggravated in the evening and through the night;
no apparent disorder of the general health. The ordinary remedies were
used, viz., leeching, blisters, calomel, and colchicum: they appeared
to give no relief. The prussic acid was applied, daily, for about ten
days; the relief following each application was extraordinary; the pain
was trifling for the rest of the day. At the expiration of twelve days
the intolerance of light, the injected state of the vessels on the
sclerotica, and the other symptoms, entirely disappeared; and since
September the little patient has continued quite free from any symptom
of her former ailment.
"CASE 3.
"A girl, named MUNRO, from Mount Pleasant. Albugo of corneæ in both
eyes, the result of an attack of acute conjunctival ophthalmia,
which she had about two years ago, whilst residing in Dundee, where
various means were tried for her relief. Vision was almost completely
destroyed; she could not distinguish the outlines, form, or colours,
of objects presented to her. At her own urgent request, but without
holding out any prospect of her being benefited by it, the prussic acid
was applied, daily, for about six weeks.
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