has
probably
done
to
more
popularise European
surgery than anything else in this country, if About the techwe except stone operations. no operation in of surgery, perhaps, is the nique '
homines tot sententice' truer, and its truth rests upon the fact that in its performance personal skill is everything, asepsis is of much
saying quot
importance
and
sideration.
These remarks in
published Gazette
as
other factors
are
of less
con-
apply to the papers present number of the
the
to most papers that have gone before
them. Ernest Neve
Dr.
extractions in
the
published May 189G
Gazette, and further series of 200, performed
Indian Medical
a
series of 300
number of the
publishes a consecutively, of
now
which
evidently very careful notes were taken. are remarkably good for India?90 cent, good or fair?where we have so much
The results
per to contend with
in
the dirtiness and restless
habits of our
patients. The Drs. Neve were able to keep patients in hospital longer than usual?17 days on an average. Only 5 cases had synechias, a lower proportion than usually met with in dispensary practice. It would be very their
if the authors would
publish in full glaucoma which and followed operation, especially of the case of detachment of iris and glaucoma which followed extraction. All such cases should be published for interesting
the notes of the two
their
bearing
researches
on
cases
of
Mr. Treacher Collins'
at Moorfield's
important Hospital published last
year. Surgeon Captain Herbert's paper deals with 3G2 extractions performed after and during the use of strong corrosive sublimate solutions in 2300), in which not one case of suppura-
(1
tion
or
severe
result.
cellent
iritis It
was met
is
Herbert suggests, the with after the rather
a
solution
is
probable that, amount
ex-
Dr. of reaction met as
of such
strong solutions is length of time the applied than of its strength. A the same strength will, therefore, use
matter
solution of
with?a very
of the
crive different results in different hands.
O
With the conclusions formulated The use of we agree generally.
flaps
is not
of his
Cataract is surgeons
a
practising
frequency,
of much interest to all in India because of its great
subject
and because its successful extraction
mentioned, although in 1896, 26% operated upon with the modi-
cases were
Conjunctival flaps make larger incisions possible and so make extraction of large lenses easier. Sepsis is less likely to occur, and by rendering purely corneal incisions even up to half the corneal circumference possible, they fied
EXTRACTION OF CATARACT IN INDIA.
by Dr. Neve conjunctival
flap.
A PLAGUE CONGRESS.
'Tnxrc 1898.]
prolapse of the iris. l)r. proposal to suture the conjunc-
reduce the risk of
Maynard's flap
recent
tival
seems
worthy
of
trial,
and in his
hands at any rate has proved successful. A criticism of it appears in our correspondence columns. Iridectomy is favoured by the Neve brothers. The proportion of prolapsed irides met with is not given. After 40 simple extractions, in 1
matter of surprise, not that only 7 out of 14 cases in which the lens was removed in its capsule entire, were loss of vitreous, but that in
10
the iris
prolapsed.
accompanied by
more were
not.
When
It is
a
the zonule of Zinn
torn
through, there is very little to vitreous prolapsing. The results
prevent as
is the
regards
vision are so Ocood, however, and the loss of vitreous so harmless, provided it be slight, that in suitable cases surgeons will probably conti7
nue
to remove
'
the lens in its
capsule
when
possible. Both Dr. Herbert and Dr. Sutherland advocate
irrigation masses or
it.
of the anterior chamber if cortical fragments of capsule appear to require
Experience shows,
ditions
ing or forceps,
we think, that such conbetter treated by removal, by strokby the introduction of a scoop or iris rather than by the use of the irrigator.
are
227
probably
done
to
more
popularise European
surgery than anything else in this country, if About the techwe except stone operations. no operation in of surgery, perhaps, is the nique '
homines tot sententice' truer, and its truth rests upon the fact that in its performance personal skill is everything, asepsis is of much
saying quot
importance
and
sideration.
These remarks in
published Gazette
as
other factors
are
of less
con-
apply to the papers present number of the
the
to most papers that have gone before
them. Ernest Neve
Dr.
extractions in
the
published May 189G
Gazette, and further series of 200, performed
Indian Medical
a
series of 300
number of the
publishes a consecutively, of
now
which
evidently very careful notes were taken. are remarkably good for India?90 cent, good or fair?where we have so much
The results
per to contend with
in
the dirtiness and restless
habits of our
patients. The Drs. Neve were able to keep patients in hospital longer than usual?17 days on an average. Only 5 cases had synechias, a lower proportion than usually met with in dispensary practice. It would be very their
if the authors would
publish in full glaucoma which and followed operation, especially of the case of detachment of iris and glaucoma which followed extraction. All such cases should be published for interesting
the notes of the two
their
bearing
researches
on
cases
of
Mr. Treacher Collins'
at Moorfield's
important Hospital published last
year. Surgeon Captain Herbert's paper deals with 3G2 extractions performed after and during the use of strong corrosive sublimate solutions in 2300), in which not one case of suppura-
(1
tion
or
severe
result.
cellent
iritis It
was met
is
Herbert suggests, the with after the rather
a
solution
is
probable that, amount
ex-
Dr. of reaction met as
of such
strong solutions is length of time the applied than of its strength. A the same strength will, therefore, use
matter
solution of
with?a very
of the
crive different results in different hands.
O
With the conclusions formulated The use of we agree generally.
flaps
is not
of his
Cataract is surgeons
a
practising
frequency,
of much interest to all in India because of its great
subject
and because its successful extraction
mentioned, although in 1896, 26% operated upon with the modi-
cases were
Conjunctival flaps make larger incisions possible and so make extraction of large lenses easier. Sepsis is less likely to occur, and by rendering purely corneal incisions even up to half the corneal circumference possible, they fied
EXTRACTION OF CATARACT IN INDIA.
by Dr. Neve conjunctival
flap.
A PLAGUE CONGRESS.
'Tnxrc 1898.]
prolapse of the iris. l)r. proposal to suture the conjunc-
reduce the risk of
Maynard's flap
recent
tival
seems
worthy
of
trial,
and in his
hands at any rate has proved successful. A criticism of it appears in our correspondence columns. Iridectomy is favoured by the Neve brothers. The proportion of prolapsed irides met with is not given. After 40 simple extractions, in 1
matter of surprise, not that only 7 out of 14 cases in which the lens was removed in its capsule entire, were loss of vitreous, but that in
10
the iris
prolapsed.
accompanied by
more were
not.
When
It is
a
the zonule of Zinn
torn
through, there is very little to vitreous prolapsing. The results
prevent as
is the
regards
vision are so Ocood, however, and the loss of vitreous so harmless, provided it be slight, that in suitable cases surgeons will probably conti7
nue
to remove
'
the lens in its
capsule
when
possible. Both Dr. Herbert and Dr. Sutherland advocate
irrigation masses or
it.
of the anterior chamber if cortical fragments of capsule appear to require
Experience shows,
ditions
ing or forceps,
we think, that such conbetter treated by removal, by strokby the introduction of a scoop or iris rather than by the use of the irrigator.
are
227
