Transactions . Green Red. Blue Fig. 2.—Visual Field. Three Weeks After Operation. gravity, 1007. Wassermann negative. Sinuses in good condition. Tuberculin test not made. Diagnosis: Xeuroretinitis with detachment of the retinain left eye. Cause not determined. Operation: October 16, 1913, a flap, including all thetissues overlying the sclera, was made down and out, andwith the mm. blade of von Hippels trephine an openingwas made through the sclera at a point corresponding to the 664 Parker : Scleral Trephining for Retinal Detachment. retinal detachment. The scleral button wa
Transactions . Green Red. Blue Fig. 2.—Visual Field. Three Weeks After Operation. gravity, 1007. Wassermann negative. Sinuses in good condition. Tuberculin test not made. Diagnosis: Xeuroretinitis with detachment of the retinain left eye. Cause not determined. Operation: October 16, 1913, a flap, including all thetissues overlying the sclera, was made down and out, andwith the mm. blade of von Hippels trephine an openingwas made through the sclera at a point corresponding to the 664 Parker : Scleral Trephining for Retinal Detachment. retinal detachment. The scleral button was readily re-moved and was followed by a slight escape of fluid. Thechoroid and retina were incised with a cataract knife. Agush of straw-colored fluid was followed by the escape of asmall amount of vitreous. Three sutures were used to holdthe conjunctival flap in Green. Red. Blue. Fig. 3.—Visual Field. Seven Months After Operation. Postoperative history: During the night the patient com-plained of some pain, and the conjunctiva became verymuch congested, swollen and edematous; the chemotic con-junctiva covering the limbus completely. The eye wasiced for twenty-four hours. In five days the swelling andchemosis were greatly reduced except at the site of operation,which showed bulging for five days longer, at which time thestitches were removed. Fundus examination made three weeks after operation: Parker : Scleral Trephining for Retinal Detachment. 665 There are many minute granular opacities of the vitreous;the whole fundus is shghtly hyperemic; the retina is some-what edematous. Arteriovenous compression present. Thesuperior macular vessels have silver wire slight if any foveal reflex; the macular region is prac-tically normal except that it is slightly granular about thefoveola. There is a glistening white spot and a bri
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectophthalmology, bookye
