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Glaucoma

Glaucoma


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About the Book

Excerpt: ...of these vibrating machines, and again make a plea for the finger tip, just as I am afraid of a Von Hippel trephine, and prefer one which is rotated with the fingers. A special investigation of pressure massage according to the method of Domec has been made by Paul Knapp of Basel. This, as you know, consists in applying the thumb to the cornea through the closed lids, and making repeated pressures upon it at the rate or 60 to 100 a minute. He checked his results with the tonometer after 200, 500 and 1,000 pressures, and found that even in normal eyeballs such massage was followed by a fall of intra-ocular tension, the average being nearly 9 mm. after a thousand pressures. Within three-quarters of an hour the tension returns to the normal. In acute glaucoma such massage is not available, but it is of assistance in encouraging a reduction of the intra-ocular tension and keeping it Pg 76 at a normal grade after operative work, particularly after a filtering cicatrix has been made, as was well shown by Weeks in his study of glaucomatous eyes operated upon by the Lagrange method. It is interesting to remember that Paul Knapp, in the course of this investigation, observed reduction of the tension after the use of holocain. Another method of reducing the intra-ocular tension is by the suction method, which consists in the use of certain cups from which the air is exhausted by means of a suction apparatus. Domec uses an elliptical eye cup, the concave margins of which fit closely about the globe. The air is exhausted with each respiration of the patient and from 50 to 200 tractions are made at each sitting. Domec is of the opinion that this method succeeds in two ways, namely, in producing analgesia by traction on the ciliary nerves, and in reducing intra-ocular tension. Unfortunately, it is difficult for regular Pg 77 physicians to make reference to massage of the eyeball lest their words should be misquoted by irregular practitioners who employ this...


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Product Details
  • ISBN-13: 9781153776967
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 26
  • Spine Width: 1 mm
  • Width: 189 mm
  • ISBN-10: 1153776960
  • Publisher Date: 16 Oct 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 68 gr


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