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Ziegler Thru and Thru Operation for Traumatic Cataract
NOTES, CASES AND INSTRUMENTS
In the region of the macula was a perfectly round, white, depressed area of half the diameter of the disc. The margins were smooth and gave one the feeling that the free edges of the retina and choroid had curled under. This area was pigment and vessel free. Taking into consideration the presence of the other anomalies, the history of a normal birth, and the absence of his tory of injury or disease, I am satisfied that I am correct in calling this a coloboma of the macula. L. Lids, conjunctiva, iris, pupil, cornea and other media, and disc nor mal. This eye also presented a colo boma of the choroid similar in size and shape to that of the right, except that there was more pigment along the margins. The macula appeared to be normal ophthalmoscopically. Several refractions under atropin: R. +4.00 Sph. L. +3.00 Sph. Full correction was ordered. Neither glasses nor exercises with the Worth amblyoscope have had any effect on the strabismus, but improvement in visual acuity was proved by the fact that the patient will not do without the glasses. With the glasses on, the left eye was distinctly preferred to the right for fixation. Examination of the eyes of the father, mother and three other children revealed no anomalies. The oldest child, a boy, was not available for ex amination. His parents said that he carries on his school work without any trouble with the eyes.
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pupil, no postoperative reaction, the eye is less interfered with, and finally from the economic standpoint there is a great saving in time and expense to the patient. Mr. J. K., 37 years of age, electric welder, by occupation, reported to me February 26, 1925, giving a history that on December 9, 1924, while chip ping a piece of soft steel, a fragment struck his left eye. He had been treated, but no foreign body discov ered, by first aid department at his plant and then at two hospitals in the city. His chief complaint was that he could not see well with the injured eye, but there was no pain. Examination revealed 15/20 in the right eye and 2/70? in the left. There was slight congestion of the palpebral conjunctiva of the injured eye, with a small linear scar of the cornea, extend ing from 10 o'clock and 3 mm. inside the corneal limbus, almost to the cen ter of the cornea itself, and another small linear scar just below the first. Di rectly behind this, a posterior synechia at tached the iris to a yellow spot on the anterior capsule of the lens. The pupil was active to light. Tension normal. The lens was hazy with opacities in the posterior layers; and a linear tract of opacity extended from the yellow point spoken of to the posterior capsule of the lens, and in a slightly downward and inward direction. No view of the fundus details could be obtained. O. D. negative. X-ray immediately taken, 5 plates in all, each of which showed a foreign body 10 mm. below the horizontal plane, 7 mm. to the temporal side of ZIEGLER THRU A N D THRU OP the vertical plane, and 8 mm. behind ERATION FOR TRAUMATIC the center of the cornea. On March 7, CATARACT. a magnet operation was performed, us ing the Sweet magnet thru an open in L. WALLER DEICHLER, M.D. cision in the globe, as near the foreign PHILADELPHIA, PA. body as possible; unsuccessful with the Read before the Section on Ophthalmology, blunt point, a small long, thin point College of Physicians of Philadelphia, October was inserted thru the wound into the IS, 192S. (See p. 204.) vitreous and the foreign body removed, The "Ziegler thru and thru, V- which measured 2.5 x 1.5 mm. shaped operation" for traumatic cata On the 18th day of April the Vracts, I believe to be rather more satis shaped thru and thru Ziegler operation factory than the ordinary linear extrac was done for the cataract, and on Sep tion, which is so often performed; be tember 18, +11.50 Sph. gave him cause, in my limited observation, one 20/20? sight. has as a final result, a round, mobile Chestnut at 18th Street.
In the region of the macula was a perfectly round, white, depressed area of half the diameter of the disc. The margins were smooth and gave one the feeling that the free edges of the retina and choroid had curled under. This area was pigment and vessel free. Taking into consideration the presence of the other anomalies, the history of a normal birth, and the absence of his tory of injury or disease, I am satisfied that I am correct in calling this a coloboma of the macula. L. Lids, conjunctiva, iris, pupil, cornea and other media, and disc nor mal. This eye also presented a colo boma of the choroid similar in size and shape to that of the right, except that there was more pigment along the margins. The macula appeared to be normal ophthalmoscopically. Several refractions under atropin: R. +4.00 Sph. L. +3.00 Sph. Full correction was ordered. Neither glasses nor exercises with the Worth amblyoscope have had any effect on the strabismus, but improvement in visual acuity was proved by the fact that the patient will not do without the glasses. With the glasses on, the left eye was distinctly preferred to the right for fixation. Examination of the eyes of the father, mother and three other children revealed no anomalies. The oldest child, a boy, was not available for ex amination. His parents said that he carries on his school work without any trouble with the eyes.
197
pupil, no postoperative reaction, the eye is less interfered with, and finally from the economic standpoint there is a great saving in time and expense to the patient. Mr. J. K., 37 years of age, electric welder, by occupation, reported to me February 26, 1925, giving a history that on December 9, 1924, while chip ping a piece of soft steel, a fragment struck his left eye. He had been treated, but no foreign body discov ered, by first aid department at his plant and then at two hospitals in the city. His chief complaint was that he could not see well with the injured eye, but there was no pain. Examination revealed 15/20 in the right eye and 2/70? in the left. There was slight congestion of the palpebral conjunctiva of the injured eye, with a small linear scar of the cornea, extend ing from 10 o'clock and 3 mm. inside the corneal limbus, almost to the cen ter of the cornea itself, and another small linear scar just below the first. Di rectly behind this, a posterior synechia at tached the iris to a yellow spot on the anterior capsule of the lens. The pupil was active to light. Tension normal. The lens was hazy with opacities in the posterior layers; and a linear tract of opacity extended from the yellow point spoken of to the posterior capsule of the lens, and in a slightly downward and inward direction. No view of the fundus details could be obtained. O. D. negative. X-ray immediately taken, 5 plates in all, each of which showed a foreign body 10 mm. below the horizontal plane, 7 mm. to the temporal side of ZIEGLER THRU A N D THRU OP the vertical plane, and 8 mm. behind ERATION FOR TRAUMATIC the center of the cornea. On March 7, CATARACT. a magnet operation was performed, us ing the Sweet magnet thru an open in L. WALLER DEICHLER, M.D. cision in the globe, as near the foreign PHILADELPHIA, PA. body as possible; unsuccessful with the Read before the Section on Ophthalmology, blunt point, a small long, thin point College of Physicians of Philadelphia, October was inserted thru the wound into the IS, 192S. (See p. 204.) vitreous and the foreign body removed, The "Ziegler thru and thru, V- which measured 2.5 x 1.5 mm. shaped operation" for traumatic cata On the 18th day of April the Vracts, I believe to be rather more satis shaped thru and thru Ziegler operation factory than the ordinary linear extrac was done for the cataract, and on Sep tion, which is so often performed; be tember 18, +11.50 Sph. gave him cause, in my limited observation, one 20/20? sight. has as a final result, a round, mobile Chestnut at 18th Street.