FREE BOOKS

Author's List




PREV.   NEXT  
|<   47   48   49   50   51   52   53   54   55   56   57   58   59   60   61   62   63   64   >>  
n of cystoid scars or minute fistulae, rather than as a result of the removal of a portion of the iris periphery. The best brief tabulation of the results obtained by iridectomy, in glaucoma, is to be found in Weeks' textbook on _Diseases of the Eye_, page 417: "Sulzer reports as follows: Acute glaucoma, 149 cases; improved, 72.5 per cent; serviceable vision preserved, 11.3 per cent; vision impaired at once, 4.08 per cent; very little vision, 12.12 per cent. "Zentmeyer and Posey: In simple glaucoma central vision increased in 60 per cent; remained the same in 20 per cent; diminished in 20 per cent. "Wygodski: Inflammatory glaucoma, 37 cases; improvement, 76 per cent; unimproved, 5 per cent; deterioration, 19 per cent. Sub-acute (chronic inflammatory), 147 cases; improvement 10 per cent; unimproved (condition the same as before iridectomy), 40 per cent; deterioration, 30 per cent; blindness, 20 per cent. Cases operated on at an early stage gave 85 per cent of good results. Simple glaucoma, 104 cases; improvement, O.96 per cent; condition as before, 10.5 per cent; deterioration, 52 per cent; amaurosis, 36.5 per cent. "Hahnloser and Sidler: One hundred seventy-two eyes observed not less than ten years after operation; acute inflammatory, 31 eyes; good results, 64 per cent; relatively good, 13 per cent; blind 23 per cent; chronic inflammatory, 37 eyes; good result, 29.9 per cent; relatively good, 27 per cent; blind, 43 per cent; simple glaucoma, 76 eyes; good results, 42 per cent; relatively good, 28.9 per cent; blind, 28.9 per cent." As far as the _Lagrange procedure_ is concerned, you will remember that after eserinization an oblique incision is made through the sclera by means of a narrow Graefe knife and a large conjunctival flap secured. This is obtained by making a peripheral section of the sclero-corneal margin with the knife and, as soon as the edge of the knife reaches the upper limit of the anterior chamber, it is turned backward and brought out through the sclera obliquely. The conjunctival flap thus formed is turned back over the cornea, and the fragment of sclera that is left attached to the cornea is removed by means of a fine pair of delicate curved scissors. Following this an iridectomy is performed. The conjunctival flap is now replaced and a bandage applied. This operation opens a large filtration passage for the intra-ocular fluids and the prompt healing of the wound with its mucous covering
PREV.   NEXT  
|<   47   48   49   50   51   52   53   54   55   56   57   58   59   60   61   62   63   64   >>  



Top keywords:

glaucoma

 

results

 

vision

 

deterioration

 
conjunctival
 

sclera

 

iridectomy

 

improvement

 

inflammatory

 

cornea


simple

 

unimproved

 

chronic

 
turned
 
condition
 
obtained
 

result

 

operation

 

Lagrange

 

section


procedure

 

sclero

 

concerned

 
incision
 

oblique

 

corneal

 
narrow
 
eserinization
 

secured

 
peripheral

remember
 

making

 
Graefe
 

replaced

 
bandage
 

applied

 

performed

 
curved
 

scissors

 

Following


filtration

 
passage
 

mucous

 

covering

 
healing
 

prompt

 

ocular

 

fluids

 
delicate
 

chamber