SURVEY OF O P H T H A L M O L O G Y VOLUME 40. NUMBER 5. MARCH-APRIL 1996
TIME
OPH,BENJAMINMILDER,EDITOR A Meditation on Eyes and the Art of Seeing*
I w o n d e r as I view this O.R scene, If Ulysses saw an eye of such prodigious size W h e n he p l u n g e d that b u r n i n g stake Into the Cyclop's unwary eye, As the o n e I see on this Sony screen, That stares at me, glares at m e - though anesthetized-AS its cataract we fix to exorcise.
That they c o u l d n ' t give a fig or leaf, Let alone a tear, that his eyes were torn By the fingers of his own accusing grief and lacerating scorn. W h e n Galileo, with his a u g m e n t e d eye, Did espy the m o o n s of Jupiter dance in apostasy Across an ecclesiastically d a r k e n e d sky, He seized the prior centuries and the Holy See, Stood them on their mitered heads, Said: " S e e - - t h e Truth." Their taut reply Hissed, "Blasphemy !" And f o u g h t him to his aged and recanting knees, But could n o t stay, restrain or deny The dawning o f the heaven's new philosophies.
I think o f Polyphemus and his sightless c o u n t e n a n c e - T h o u g h e n d o w e d with brawn and compelling size as well as bellowing, blind arrogance, Was felled by the cuttings of the mindless F a t e s - How he cursed the plight o f his estate, How he f u m e d and raged and swore As the fluids of his eye did p o u r Like r a m p a g i n g torrents i m p e n i t e n t - A cataract of red from his t o r m e n t e d Brow, to the dusty, cavern floor.
A n d so it goes, as we read the bulletin of ages, Down the eye-chart of history; Peer o ' e r the wisdom and shoulders o f martyrs, Saints and sages, straining to see What their hieroglyphics did confer U p o n tapestries of stone and m o n u m e n t s , Tomes of law and guilded books of prayer; W o n d e r i n g what calligraphy of t h o u g h t or testament Might serve as starlight or wavering candlelight To steer us t h r o u g h the caves and corridors O f night, filled with shades o f d o u b t and b6tes noires.
Some for a straying view or inadvertent Glance, were felled unmercifully: Eyes slammed shut with dark opacity And i n n o c e n c e was n o t valid a r g u m e n t To stay the eclipsing curfew: the perpetual h o o d of night. ASk p o o r T i r e s i a s - - H e knew ! He knew ! Although he then could perceive t o m o r r o w With a more discerning light, He could never see a promise uncurl and grow, Pass from nidus bud, m e t a m o r p h o s e Into a regal, reigning rose.
As we now conclude our surgery, I see an eye redeemed: its clouded lens Exchanged for one, bright and crystalline; A n d I am r e m i n d e d of those blessed few W h o have clearly seen, quietly lived and said: The reason for our d a r k e n e d view Lies n o t within our o p a q u e eye But within our skewed head. There, vanity parades with elongated stride, There, we prance and preen, fail to bide The simple fact, that we are transient dust Spinning on a fragment of a fading star, H o u s e d in a m o m e n t ' s sigh;
As for O e d i p u s - - h i s only sin was to have been born: The rest, the roll of dice, the cast of lots, drawn By those twin courtesans, Chance and Accident, W h o traipsed t h r o u g h the court o f Thebes, so indifferent *In the operating room, cataracts are extracted while viewing the eye through a microscope;the eye as viewed by the surgeon, is seen on a television screen by O.R. personnel and appears as large a.s a basketball. 425
9 1996. Surveyof Ophthalmology. (7 Kent Street, Brookline, MA 02146. Tel: 617-566-2138. Fax: 6174566-4019)
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Surv Ophthalmol 40 (5) March-April 1996
Derived f r o m cosmic clouds u n b r i d l e d in their tumult W h e n seen f r o m M o u n t Palomar, But seemingly serene w h e n viewed with the n a k e d eye. T h e u n p r a c t i c e d eye is so easily deceived If sense's i m m e d i a c y is all that we perceive.
TIME O P H the eye that sees the least, Is the I o f self-love, that sits at the Feast O f Fools, w h e n Vanity is called, to be the h o n o r e d guest.
But the largest lie of all,
NICHOLAS GIOSA, MD SENIOR STAFF ANESTHESIOLOGIST HARTFORD HOSPITAL, HARTFORD, CT
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