Excerpt from The Ophthalmoscope, Vol. 3: A Monthly Rew of Current Ophthalmology; February 1, 1905
In the first decades following the introduction Of the Ophthalmoscope we collected the cases Of eye injury by splinters mentioned in literature, and in 1875 I added to the five then known a sixth Splendid case Of a Splinter in the retina with almost normal ion. But, twenty-six years later the man came back to me the eye was absolutely blind with cataract and cyclitis - in fact, had become blind a year after my first observation. Thus, in my Opinion, we are bound to extract the Splinter from the eyeball, if we are able to do so without serious damage to the structures Of the eye. In partiar, we must Operate upon the fresh cases first, because we are unable to diagnose whether the splinter in the vitreous or the retina be septic or not; secondly, because extraction is easier before dense encapsulation. But accurate diagnosis is indispensable; a good instrument needful; a correct plan necessary; and some experience desirable. Finally, these Operations are by no means easy and cannot be compared with cataract extraction, when we expect that the surgeon who begins certainly ends by extracting the cataract.
The results Of all this surgery taken together are not yet entirely satisfactory. I am in a position to judge, as Often cases have been sent to me either by professional brethren who attempted, but failed, to extract the Splinter, or by our own steel and iron trade unions, and also because I have Often had to estimate the degree Of damage for an injured workman, according to our social legislation.
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