Lectures on the American eclectic system of surgery . drops of blood, unless an artery be cut, of which there need beno danger, and can not be in the first, and last two cases three or four days, or as soon as the state of the limb willadmit, it should be placed in a proper machine for extendingthe foot and fixing it in its proper situation. [As the operation for strabismus is similar in principle to thisof talipes, and eye-operations form a distinct class, I will nowproceed to them, before taking up others on the head andtrunk. Myotomy being a modern operation, has been for atime
Lectures on the American eclectic system of surgery . drops of blood, unless an artery be cut, of which there need beno danger, and can not be in the first, and last two cases three or four days, or as soon as the state of the limb willadmit, it should be placed in a proper machine for extendingthe foot and fixing it in its proper situation. [As the operation for strabismus is similar in principle to thisof talipes, and eye-operations form a distinct class, I will nowproceed to them, before taking up others on the head andtrunk. Myotomy being a modern operation, has been for atime all the rage—for instances of this muscle-cuttinggone mad, see page 536, and Flints Druitt, page 391, withthe editors note, page 329.] Strabismus—Squinting. This striking and unsightly peculiarity of the visual organscommonly consists of their axis of motion being no longer CAUSE AND CORRECTION OF SQUINTING. 727 parallel, or in their natural relation to each other. Hence theeyes do not act in harmony, and the person seems to be looking Fig. j^tttm two ways at once. If both eyes have changed their naturalaxis similarly, or received an equal turn to the same side, thepatient appears to be looking away from the object before him,or not looking at what he really sees. Such states of the eye may be temporary or permanent Inthe former case there is a spasmodic contraction of some of themuscles of the globe, virtually destroying the function of theirantagonistic muscles. Such spasms often occurring in connec-tion with the cerebral affections of children, are apt to becomehabitual, and the occasional squinting converted into confirmedstrabismus. This result may be guarded against by mechanicalcontrivances, such as a dark shade over the affected eye with asmall opening for light in the center, or at the point mostlikely to counteract the morbid tendency. The confirmed squinting is rather referred to the relativerelaxation of the muscles not acting, than to the overpoweringcont
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