Transactions of the Ophthalmological Society of the United Kingdom (Volume 27)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1907 edition. Excerpt: ...and, doing a little more each day, was about again early in December. Present condition.--R.V.--3-5 D. = y-; without glass reads J 2. The visual field is normal peripherally, but there is a minute central scotoma, too small to map out with the perimeter. In the periphery of the fundus in the upper and outer quadrant a white area can be seen with a little pigmentation around it. This possibly indicates the site of one of the scleral punctures. The chief feature of interest in this case is, I think, the remarkable improvement that on each occasion immediately followed puncture of the sclerotic, which seems to prove that the policy of masterly inactivity often recommended in the treatment of these cases is not always the best possible. Note added July 30th, 1907.--Patient was seen again on March 23rd; there was no sign of recurrence, and vision was still-pg, with correction. He wrote on July 2nd to say that there had been no return of the trouble; if anything, vision was improving. He could read rather smaller print with the eye. (Card specimen. February 14th, 1907.) Mr. Sydney Stephenson asked whether the detachment was of long standing before the puncture was done. He visited Professor Deutschmann's clinique at Hamburg a few months ago, and saw him do some of his scleral punctures. The professor attached very great importance to not puncturing recent detachments. When a recent case came to him he postponed operation as long as possible, at least six months. He saw four cases that had been treated by Deutschmann's methods, and the cure appeared complete. Deutschmann had shown several successful cases at Heidelberg a few months before. Mr. Mcmollen said he inserted the point of the Graefe knife to a depth of only 2 or 3 mm. He made the puncture, as...