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
Numerous reports have now been made of those who have died in
consequence of this poison, and the most striking effects to be
observed are, the extraordinary state of the eye, which has indeed
been considered as the most characteristic phenomenon, and at once
to point out the cause of death: the shining, glistening, sparkling
lustre of the eye has been, on most occasions, observed. No one has,
so far as I am able to learn, attempted to explain this most striking
appearance; it has, however, been said, that those who die from the
effects of charcoal often exhibit the same unearthly lustre.--_Dr.
Sigmond on Poisoning with Prussic Acid.--The Lancet, August 26th,
1837, page 797._
My first experiment was undertaken in 1837, with the diluted acid, by
dipping a sponge into it, and rubbing it upon the forehead for the
space of a few minutes, which gave the skin a very red appearance; but
the patient experienced not the least sense of heat, and the pupil
was slightly dilated. I continued to use this with very beneficial
effects in incipient cataract, opacities of the cornea, inflammation,
amaurosis, iritis, &c. Of late, instead of the diluted acid I have
applied the _vapour_ of the concentrated acid to the eye with much more
decided effect, and without the slightest danger. The plan I generally
adopt, is to put into an ounce-phial a drachm of the acid, and hold it
in close contact with the eye, the eyelid being open, for the space
of about half a minute, or until such time as the patient feels a
little warmth, or the person holding the phial sees the pupil greatly
dilated, and the vessels of the eye injected with blood, which is the
invariable effect of the application of the acid. The patient is not
sensible of pain from this peculiar state being induced, which appears
to me to result from the powerfully sedative influence of the acid,[2]
thereby showing that two opposite powers--to wit, the stimulating and
the sedative--are exerted at the same time; and thereby the uneasiness
arising generally from a stimulant alone is prevented. Its great power
in removing these diseases chiefly arises from the two powers being so
blended, and thus enabling the eye to bear a sufficient stimulating
action without injury. The person who holds the acid to the eye should
_be careful not to allow the patient to smell it_.
[2] _Lancet, Sept. 16th, 1837, page 883._--In whatever manner it is
prescribed or administered, either therapeutically or as a poison,
hydrocyanic acid operates directly on the nervous centres.--_Professor
A. T. Thompson._
The _Medical Gazette_ and the _Lancet_ gave insertion to the following
statement of mine, of date Oct. 20, 1842.
SIR,--In October, 1841, I gave an account of the action of the vapour
of _hydrocyanic acid_ upon diseases of the eye. Since that period I
have been engaged in investigating the action of various other bodies
on the same organ, and under the same form.
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