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Belgian Ophthalmological Society
SOCIETY PROCEEDINGS Reports for this department should be sent at the earliest date practicable to Dr. Harry S. Gradle, 22 E. Washington St., Chicago, Illinois. These reports should present briefly the important scientific papers and discussions. BELGIAN OPHTHALMOLOGICAL SOCIETY. April 25, 1920. Phacoerisis. I. BARRAQUER, Barcelona, Spain, de scribed his operation of phocoerisis and demonstrated the instruments em ployed for it. The results obtained are said to be most brilliant. Peripapillary Hemorrhage in a Myope. MARBAIX, of Tournais, reported a case of such hemorrhage occurring in a woman who suffered from high my opia. The report was illustrated with drawing's by the patient, showing the subjective changes during resorption of the hemorrhage. Rodent Ulcer with Perforation of Both Corneas. H. COPPEZ, Brussels, presented a case in which the ulcers had repeatedly per forated the cornea and produced pro lapse of the iris and in the last per foration of one eye the formation of cataract. On the right side the progress of the ulcer continued until it invaded the whole cornea except a small central portion. In the left eye the ulcer is stationary for the last two years. Eyes of Masques and Statues of An cient Egypt. COULOMB, Paris, presented a series of 23 such eyes from old Egyptian statues and masques. Frontal Mucocele. Temporary Intranasal Drainage. MORAX, Paris, in a case of frontal mucocele, under local anesthesia, made a cutaneous incision at the level of the eyebrow. The periosteum was turned back and the mucocele incised. The wall of the frontal sinus being opened for the purpose to an extent of 6 mm. thru the opening made by trephining, he introduced a small perforated sil ver drain, terminating at its upper end in a thread of silver. The lips of the wound were sutured together with this
thread passing between them. This drain was drawn out by the silver thread on the 6th day. The mucocele has not recurred and the esthetic re sult is perfect. Flexible Goggles. BONNEFON, Bordeaux, described the making and application of simple pro tective goggles. A disk of card board was bent in the form of a cone, fur nished with two ears exactly opposite each other to which were attached tapes forming a coquile in close con tact with the skin thruout its circum ference. It could be used for the sim ple protection or for compressive oc clusion of the eye. Artificial Tarsal Cartilage. KLEEFELD, Brussels, to combat the deviation of the cilia produced in trachoma after extirpation of the tarsal cartilage, has reconstructed a solid frame work for the lid in this way: Silk threads are boiled in 4% sublimat solution and introduced into the tissues. These threads are not ab sorbed, and cause in the tissues a lively reaction. As a consequence there ap pears new formed scleroscd tissue which is very resistant. Choroiditis and Tenonitis. TERLTNCK, Brussels, reported a case of simultaneous metastatic choroiditis and tenonitis due to a metastatic pneumococcus infection. Atypical Vernal Conjunctivitis. GAJ.LEMAERTS, Brussels, reported on this case. In a boy aged 12 years, the corneas presented at their periphery a border several mm. wide, deeply vascularized, and resembling an enormous arcus senilis. Each year in the month of April the boy suffered from ocular itching and the conjunctival culdesac presented in slight degree the milky aspect characteristic of vernal con junctivitis. 46
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SOCIETY PROCEEDINGS
Fixation of Eyeball in Operation for Cataract. H. COPPEZ, Brussels, recommends in the operation QI cataract a double fixa tion. A blepharostat is omitted and fixation forceps held by the operator are applied to the insertion of the su perior rectus muscle thruout the whole of the operation. An assistant steadies the eyeball by fixation forceps applied at the insertion of the tendon of the internal rectus muscle during the making of the puncture and counter puncture and the first part of the corneal incision. After the expulsion of the lens nucleus the fixation of the superior rectus en ables the operator to force out the cortical masses remaining in the upper part of the lens capsule by accurate systematic pressure. Meningoencephalocele of Orbit. D. V A N DUYSE, Gand, pointed out there exists a great similarity between meningoencephalocele and intraorbital colobomatous cysts. They are similar in histologic structure and perhaps have a similar primary origin. In the case he observed there had been a men ingoencephalocele of which the cere bral'wall was composed of layers that resemble the structure of the cere bellum. The'removal of the tumor was followed by death, High Blood Pressure and Retinal Hemorrhages. D E W A E L E , Gand, has measured the blood pressure in a series of cases of hemorrhagic retinitis. In general there was an increase in the blood pressure. This vascular hypertension is an im portant factor, but not an exclusive etiologic factor of retinal hemorrhage. The composition of the blood takes an equal part in the etiology and notably the conditions of uremia and cholesterinemia. Internal Treatment of Glaucomatous Hypertension. WEEKERS, Liege, basing his treat ment op the controlling action of cal cium chlorid upon processes of transudation and exudation administered this salt by the mouth or by intramus cular or intravenous injection to 21
patients attacked by glaucoma. By regular tonometric measurements he ascertained the consequent effect of the remedy on the ocular tension. In many cases such medication produced no effect on the tension. In other cases the calcium chlorid seemed to influ ence favorably the intraocular pres sure. In acute glaucoma the various treatments employed had not made it possible to draw clear conclusions. Extraction of Cataract in Its Capsule. H. Coppez, Brussels, exhibited with a cinematograph films showing Smith's operation. Four operations were thus shown, the films being furnished by the Doctors Green, of San Francisco. Milk Injections to Prevent Postop erative Infection. Van Lint, Brussels, at the time of operation had employed injections of sterilized milk to prevent complications due to infection. 5 ccm. were given at a dose immediately preceding op eration. The reaction of the eyeball following operation with such injec tions is much less marked and the re sults obtained were very favorable. Sterile Collyria. Marbaix, Tournais, urged that one must provide for his patients collyria that were sterile. To avoid that such collyria should become contaminated and furnished to patients, Marbaix rec ommends a flask with a peculiar tub ular spout thru which the fluid is ex pelled by expansion of the air with the warmth of the hand. New Stain for Corneal Ulcers. Kleefeld, Brussels, found with the corneal microscope and Gullstrand lamp that the staining of superficial lesions of the cornea by fluorescein consisted of groups of diffused green ish spots without distinct staining. The Bengal rose mixture, Victoria yel low and azoflavin give a true, vital staining to the tissues. The sound epithelium is not colored. When there is a break in the epithelium an intense rose color is caused by juxtaposition of minute points of red. MARCEL DANIS.
thread passing between them. This drain was drawn out by the silver thread on the 6th day. The mucocele has not recurred and the esthetic re sult is perfect. Flexible Goggles. BONNEFON, Bordeaux, described the making and application of simple pro tective goggles. A disk of card board was bent in the form of a cone, fur nished with two ears exactly opposite each other to which were attached tapes forming a coquile in close con tact with the skin thruout its circum ference. It could be used for the sim ple protection or for compressive oc clusion of the eye. Artificial Tarsal Cartilage. KLEEFELD, Brussels, to combat the deviation of the cilia produced in trachoma after extirpation of the tarsal cartilage, has reconstructed a solid frame work for the lid in this way: Silk threads are boiled in 4% sublimat solution and introduced into the tissues. These threads are not ab sorbed, and cause in the tissues a lively reaction. As a consequence there ap pears new formed scleroscd tissue which is very resistant. Choroiditis and Tenonitis. TERLTNCK, Brussels, reported a case of simultaneous metastatic choroiditis and tenonitis due to a metastatic pneumococcus infection. Atypical Vernal Conjunctivitis. GAJ.LEMAERTS, Brussels, reported on this case. In a boy aged 12 years, the corneas presented at their periphery a border several mm. wide, deeply vascularized, and resembling an enormous arcus senilis. Each year in the month of April the boy suffered from ocular itching and the conjunctival culdesac presented in slight degree the milky aspect characteristic of vernal con junctivitis. 46
47
SOCIETY PROCEEDINGS
Fixation of Eyeball in Operation for Cataract. H. COPPEZ, Brussels, recommends in the operation QI cataract a double fixa tion. A blepharostat is omitted and fixation forceps held by the operator are applied to the insertion of the su perior rectus muscle thruout the whole of the operation. An assistant steadies the eyeball by fixation forceps applied at the insertion of the tendon of the internal rectus muscle during the making of the puncture and counter puncture and the first part of the corneal incision. After the expulsion of the lens nucleus the fixation of the superior rectus en ables the operator to force out the cortical masses remaining in the upper part of the lens capsule by accurate systematic pressure. Meningoencephalocele of Orbit. D. V A N DUYSE, Gand, pointed out there exists a great similarity between meningoencephalocele and intraorbital colobomatous cysts. They are similar in histologic structure and perhaps have a similar primary origin. In the case he observed there had been a men ingoencephalocele of which the cere bral'wall was composed of layers that resemble the structure of the cere bellum. The'removal of the tumor was followed by death, High Blood Pressure and Retinal Hemorrhages. D E W A E L E , Gand, has measured the blood pressure in a series of cases of hemorrhagic retinitis. In general there was an increase in the blood pressure. This vascular hypertension is an im portant factor, but not an exclusive etiologic factor of retinal hemorrhage. The composition of the blood takes an equal part in the etiology and notably the conditions of uremia and cholesterinemia. Internal Treatment of Glaucomatous Hypertension. WEEKERS, Liege, basing his treat ment op the controlling action of cal cium chlorid upon processes of transudation and exudation administered this salt by the mouth or by intramus cular or intravenous injection to 21
patients attacked by glaucoma. By regular tonometric measurements he ascertained the consequent effect of the remedy on the ocular tension. In many cases such medication produced no effect on the tension. In other cases the calcium chlorid seemed to influ ence favorably the intraocular pres sure. In acute glaucoma the various treatments employed had not made it possible to draw clear conclusions. Extraction of Cataract in Its Capsule. H. Coppez, Brussels, exhibited with a cinematograph films showing Smith's operation. Four operations were thus shown, the films being furnished by the Doctors Green, of San Francisco. Milk Injections to Prevent Postop erative Infection. Van Lint, Brussels, at the time of operation had employed injections of sterilized milk to prevent complications due to infection. 5 ccm. were given at a dose immediately preceding op eration. The reaction of the eyeball following operation with such injec tions is much less marked and the re sults obtained were very favorable. Sterile Collyria. Marbaix, Tournais, urged that one must provide for his patients collyria that were sterile. To avoid that such collyria should become contaminated and furnished to patients, Marbaix rec ommends a flask with a peculiar tub ular spout thru which the fluid is ex pelled by expansion of the air with the warmth of the hand. New Stain for Corneal Ulcers. Kleefeld, Brussels, found with the corneal microscope and Gullstrand lamp that the staining of superficial lesions of the cornea by fluorescein consisted of groups of diffused green ish spots without distinct staining. The Bengal rose mixture, Victoria yel low and azoflavin give a true, vital staining to the tissues. The sound epithelium is not colored. When there is a break in the epithelium an intense rose color is caused by juxtaposition of minute points of red. MARCEL DANIS.