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very best that could be done with the other would enable her only to retain what vision she had at that time.

Accordingly with that in view I at once, assisted by Dr. A. T. Miller, made an iridectomy in both eyes, not that I expected to benefit the left one in restoring any vision, but she suffered some pain at times in that eye, and to avoid a sympathetic effect from it, on the other eye, it too was operated upon.

From the time the operation was made all neuralgic symptoms subsided, and after a week, when the bandages were removed, there was a gradual improvement in the sight of the eye, until now she is able to distinguish persons when near her. She says her sight is getting better all the time, but it is probable there will be no further improvement.

In this case the left eye was of almost a stony hardness, the lens was opaque and pushed forward with the iris, and almost touching the cornea. In the left eye an examination with the ophthalmoscope revealed the cupped papilla. The halo around the light of a lamp was visible to her, and was noted with the other eye before it became blind.

July 29, 1885, I was consulted by Mrs. S., of Navarre, O. She is 60 years of age. For the past three years she has been suffering from severe pain in and over the eyes and in the temporal regions. At times the pain has been excruciating, then again almost subsiding, but not entirely.

The last three months the pain has been unusually severe. An examination revealed increased tension. Ophthalmoscopically the cupped disk was noted, and also a diminution of the retinal vessels. She described the halo around the light of a lamp.

With the assistance of Dr. Allinder I made an iridectomy in both. eyes. She was relieved at once of the pain in the head, and slept better the second night after the operation than she had done for months. She has continued improving in health and vision, and has been relieved of terrible suffering and imminent blindness.

This lady had been treated for two years by a reputable physician for "granular lids" and "neuralgia.

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November 19, 1885, I was called to see Mrs. M., of Lore City, O., in consultation with Drs. Wall of Cambridge, and Lowry, her attending physician. We found her suffering excruciating pain in the left eye, with occasional pain in the right. The sight in the right eye was lost about two weeks previous to this time, and was very much diminished in the left. Tension was very much increased in both eyes. The pupils were

large and sluggish. The history of the case, as I could gather it, was something like this:

About four months previous to the above date she was taken with what she thought was neuralgia, as she had suffered with this affection during intervals for some years. She was tolerably free from pain during the day, but suffered much at night. As her residence was in a malarious district her physician thinking this was the cause, and not having been able with the usual remedies to alleviate her suffering, advised her to remove to her former home, away from the malarial influences, hoping the change would benefit her. She was here treated by her present physician, who gave her constitutional treatment, but the pain continued. Finally a more severe paroxysm than any previous came on, and with it the loss of the right eye. Following this there was a mitigation of the pain, and for a while it was not so severe. Then came another paroxysm similar to the former, affecting principally the left eye.

At this time the attending physician anticipating the disease was glaucoma, called Dr. Wall in counsel, who confirmed his opinion and advised immediate action.

I was telegraphed and arrived there at dark and finding the case as herein related, proceeded at once to make an iridectomy on both eyes by lamp light.

Although she had been suffering severely at nights for a long time, she rested tolerably well that night, complaining occasionally of sharp shooting pains. They gradually decreased in severity and came farther apart, and finally in three days after the operation disappeared altogether.

We prescribed iron, quinia and strychnia, and she improved rapidly in health until at present she is well. right eye, and is very poor in the left, but around and attend her household duties.

Her vision is entirely lost in the sufficient to enable her to get She cannot see to read, but is

full of gratitude for what vision she has remaining.

December 24, 1885, was consulted by Mr. R., of Beech City, O. The history of the case is this: His age is 67 years. About two years ago he commenced losing sight in the left eye. There was pain-although not much-more a sense of uneasiness than pain.

About six months previous to the above date he commenced to lose sight in the right eye, at which time he consulted a physician who told him he was going blind from cataract.

Making an examination ophthalmoscopically I found no opacity of the lens, but considerable cupping of the optic disk in the left eye. There

was complete loss of vision in the right eye, with the exception of a mere perception of light on the nasal side. There was slight cupping of the optic disk in the right eye, with considerable contraction of the visual field. Tension in either eye was very slightly increased.

January 11, 1886, with the assistance of Drs. Crise and Robinette I made an iridectomy on both eyes. The patient suffered considerable pain after the operation, until three o'clock the next morning; after this he suffered very little and made a speedy recovery. Vision in the right eye has improved and he is able to get around very conveniently.

April 21, 1886, I was consulted by Miss R., aged 50 years, of Coshocton, O. For the past two years she had been suffering considerable pain, at times, about the temples and supra-orbital regions. The pain was always more severe at night. About two months previous to the time I was consulted, after a severe paroxysm of pain, she ascertained that the sight in the left eye was almost entirely lost. With it she had perception of light, and that is about all. She can tell when an object passes between her and the light with the eye, but cannot distinguish the form or color. Vision in the right eye is very much diminished. She is not able to read, and has not done so for some months. She was told by a physician that she was going blind from a cataract, and advised to have an operation performed. With this in view she consulted me. I found the eyes very hard, the pupils large and responded very sluggishly. The anterior chambers were very much diminished in size, the iris being crowded forward and almost in contact with the cornea, in each eye. The lens in the left eye presented the characteristic green color in a high degree, thus preventing an ophthalmoscopic examination of the retina. There was considerable contraction of the visual field in the right eye, but the ophthalmoscope did not reval any abnormality, such as cupping of the optic disk, or contraction of the retinal vessels. She noted the halo around the light of a lamp.

April 28th, one week since I first saw the case, with the assistance of Drs. J. G. and E. C. Carr, I made an iridectomy in both eyes. She stated that during the week since I first examined her eyes she had suffered considerable pain, and that the loss of vision was very perceptible.

The patient has now fully recovered. She does not suffer the slightest pain in either eye. Vision has improved some in the right eye, and is as good now, perhaps, as it will ever be.

April 28, 1886, (the same day upon which I operated on the preceding case) I was consulted by Mrs. M., aged 54 years, of Coshocton, O. She began suffering pain nine years ago from what she thought was neuralgia. The pain has never been very severe, and hence did not associate her failing sight with the pain. The dimness of vision she attributed to age and changed glasses frequently.

Vision in the right eye was practically gone, she having merely a perception of light from a point on the nasal side. The pupil was widely dilated and did not respond, in the least, to light. The lens presented the greenish appearance, and was so opaque that a retinal examination was impossible.

The vision in the left eye was very much reduced, and she complained that everything appeared misty. She had noted the colored rings around the light of the lamp. With the assistance of Dr. E. C. Carr an iridectomy was at once made on both eyes.

May 12th I learned from Dr. Carr that the patient was able to be about, and that all pain and the inflammation consequent upon the operation, had subsided. She expressed the opinion that she can now see better than she had done for some time previous to the operation.

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April 25, 1886, I was consulted by Mr. R., aged 70 years, of New0. He was so positive that he was blind from cataract that he had sent for me to operate upon his eyes. How he got the impression that he was blind from cataract I am unable to say, as I did not learn from him that he had ever consulted a physician in reference to his

eyes.

I invited Drs. Speer and Priest, of Newark, to see the case with me and assist in the operation. I had not seen the case before. Upon entering the room I was immediately impressed, from the peculiar greenish appearance of the lens, that we did not have a case of cataract to deal with. He had not the least perception of light. The eyes were very hard. The scleral vessels were large and tortuous and terminated abruptly. The pupils were widely dilated, and the iris and lens pushed forward toward the cornea.

Not having the time to get a history of the case, Dr. A. T, Speer elicited, for me, in substance the following: He commenced losing sight about four years ago, in both eyes at first, apparently alike; later the left failed the faster, until it gradually became blind. About two months ago he became blind in the other eye. He has never complained of the least pain, or even a sense of uneasiness about either eye. He is quite positive that he has had no pain about the temples or supra-orbital re

gions, and in fact has suffered in no way, except the inconvenience attending the loss of vision. He noticed the halo around the light of a lamp or candle, and had frequently remarked to his family of the beautiful colored rings.

The lens in either eye was so opaque that I did not attempt an ophthalmoscopic examination.

So many of these cases coming under my observation in such a brief space of time has had the effect of impressing very strongly upon my mind the necessity of a greater publicity of what is already known upon this important subject.

With such a history of cases the subject becomes a serious matter of study, especially to the general practitioner into whose hands almost all such cases at first fall, and who certainly has a grave responsibility, especially if the patient is allowed to become blind under his own eyes, whilst a means of cure is generally within his own hands-if he is only cognizant of what is and should be more generally known upon this subject. 117 EAST SPRING STREET.

IMPACTED COLON.-Prof. Da Costa directed in a case of impacted colon of one week's duration, that an injection should be used, of turpentine 3 ss, beat up with the white of an egg and mixed with a pint of hot water, to be followed by simple hot water and salt. In case this treatment failed, warm sweet oil was to be used. Internally was given: R.-Magnesii sulph., j; acid. sulphurici dil., gtt.ij; elixir simplic., aquæ. aa f 3 ss. M. Sig. To be given every half hour.

At the next clinic the patient returned well, the cure having been accomplished by the injections of sweet oil and a pill of aloes, belladonna and colocynth, on the third day of the treatment.-Coll. and Clin. Record.

A SARCOMATOUS TUMOR MADE TO DISAPPEAR BY AN ATTACK OF ERYSIPELAS.—A girl, aged eight, had a sarcoma larger than a hen's egg, involving the left tonsil and nearly the whole posterior half of the buccal cavity. Tracheotomy had to be performed. The patient then caught erysipelas from another patient, the disease lasting six days. At the end of this time the tumor was reduced to two nodules, the size of a pea, which were excised. Two months later, the disease had not returned.

TRICHINOSIS IN BERLIN.-Dr. Grawitz, who gives the course in pathological histology for Virchow, says that about one-third of the cases diagnosed in life as muscular rheumatism are shown, by post-mortem examition, to be trichinosis.—Medical Press of Western New York.

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