Sclero Corneal Trephining in the Operative Treatment of Glaucoma

Cover Sclero Corneal Trephining in the Operative Treatment of Glaucoma
Sclero Corneal Trephining in the Operative Treatment of Glaucoma
Elliot, Robert Henry, 1837-1914
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After an iridectomy has been performed, we sometimes find a dark bead projecting through the trephine hole. Trans- illumination of this through the pupil by oblique illumination reveals that the obstructing substance is translucent and of a greenish colour ; and we then know that we are confronted with a prolapse of the lens or of the vitreous. In either case it is our duty to at once close the eye, for, if the structure has been pushed forward by haemorrhage, we may find the pressure relieved,
... and the trouble over within 48 hours, owing to the absorption of the effused blood. If, on the other hand, we are 106 SO unfortunate as to be confronted with a dislocation of the lens as a result of overstretching or rupture of the suspensory ligament, the case can just as well be dealt with at a later stage, when all doubts as to diagnosis have been set at rest. This matter will be discussed in the chapter on "after-treatment. " The surgeon may rest assured that the conditions that we have been dealing with will never arise to trouble him in any early or comparatively early case.

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