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anomalies and curiosities of medicine-第189章

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ad; remained in the eye forty…seven years。 It was extracted; with the lens in which it was lodged; to relieve pain and other distressing symptoms。 Snell reports a case in which a piece of steel was imbedded and encapsulated in the ciliary process twenty…nine years without producing sympathetic irritation of its fellow; but causing such pain as to warrant enucleation of this eye。 Gunning speaks of a piece of thorn 5/8 inch long; imbedded in the left eyeball of an old man for six years; causing total loss of vision; he adds that; after its removal; some improvement was noticed。

Williams mentions a stone…cutter whose left eye was put out by a piece of stone。 Shortly after this his right eye was wounded by a knife; causing traumatic cataract; which was extracted by Sir William Wilde; giving the man good sight for twelve years; after which iritis attacked the right eye and produced a false membrane over the pupil so that the man could not work。 It was in this condition that he consulted Williams; fourteen years after the loss of the left eye。 The eye was atrophied; and on examination a piece of stone was seen projecting from it directly between the lids。 The visible portion was 1/4 inch long; and the end in the shrunken eye was evidently longer than the end protruding。 The sclera was incised; and; after fourteen years' duration in the eye; the stone was removed。

Taylor reports the removal of a piece of bone which had remained quiescent in the eye for fourteen years; after the removal of the eye the bone was found adherent to the inner tunics。 It resembled the lens in size and shape。 Williams mentions continual tolerance of foreign bodies in the eyeball for fifteen and twenty…two years; and Chisholm reports the lodgment of a fragment of metal in the iris for twenty…three years。 Liebreich extracted a piece of steel from the interior of the eye where it had been lodged twenty…two years。 Barkar speaks of a piece of steel which penetrated through the cornea and lens; and which; five months later; was successfully removed by the extraction of the cataractous lens。 Critchett gives an instance of a foreign body being loose in the anterior chamber for sixteen years。 Rider speaks of the lodgment of a fragment of a copper percussion cap in the left eye; back of the inner ciliary margin of the iris; for thirty…five years; and Bartholinus mentions a thorn in the canthus for thirty years。 Jacob reports a case in which a chip of iron remained in the eyeball twenty…eight years without giving indications for removal。 It was clearly visible; protruding into the anterior surface of the iris; and although it was rusted by its long lodgment; sight in the eye was fairly good; and there was no sign of irritation。

Snell gives an instance in which a piece of steel was imbedded close to the optic disc with retention of sight。 It was plainly visible by the opthalmoscope eighteen months after the accident; when as yet no diminution of sight was apparent。 Smyly speaks of a portion of a tobacco pipe which was successfully removed from the anterior chamber by an incision through the cornea。 Clark mentions a case in which molten lead in the eye caused no permanent injury; and there are several cases mentioned in confirmation of the statement that the eye seems to be remarkably free from disastrous effects after this injury。

Williamson mentions eyelashes in the anterior chamber of the eye; the result of a stab wound of this organ。

Contusion of the eyeball may cause dislocation of the lens into the anterior chamber; and several instances have been recorded。 We regret our inability to give the reference or authority for a report that we have seen; stating that by one kick of a horse the lenses of both eyes of a man were synchronously knocked through the eyeballs by the calkins of the horseshoe。 Oliver mentions extraction of a lens by a thrust of a cow's horn。

Lowe speaks of rupture of the anterior capsule of the lens from violent sneezing; with subsequent absorption of the lenticular substance and restoration of vision。 Trioen mentions a curious case of expulsion of the crystalline lens from the eye in ophthalmia; through the formation of a corneal fissure。 The authors have personal knowledge of a case of spontaneous extrusion of the lens through a corneal ulcer; in a case of ophthalmia of the new…born。

Injury of the Eyeball by Birds。There are several instances in which birds have pierced the eyeball with their bills; completely destroying vision。 Not long since a prominent taxidermist winged a crane; picked it up; and started to examine it; when it made one thrust with its bill and totally destroyed his eyeball。 In another instance a man was going from the railroad station to his hotel in a gale of wind; when; as he turned the corner of the street; an English sparrow was blown into his face。 Its bill penetrated his eyeball and completely ruined his sight。 There are several instances on record in which game fowls have destroyed the eyes of their owners。 In one case a game cock almost completed the enucleation of the eye of his handler by striking him with his gaff while preparing in a cock…pit。

Moorehead explains a rare accident to an eye as follows:

〃Mr。 S。 B。 A。; while attending to his bees; was stung by one upon the right upper eyelid near its center。 An employee; who was assisting in the work; immediately discovered the sting driven in the lid and cautiously extracted it; stating that he made sufficient traction to lift the lid well away from the globe。 In a few hours the lid became much swollen; but the pain experienced at first had disappeared。 Before retiring for the night he began gentle massage of the lid; stroking it horizontally with his finger。 The edematous condition was by this means much reduced in a short time。 While thus engaged in stroking the lid he suddenly experienced intense pain in the eye as if it had been pierced by a sharp instrument。 The suffering was very severe; and he passed a wretched night; constantly feeling 'something in his eye。'

〃The next morning; the trouble continuing; he came to me for relief。 Upon examination of the lid; no opening could be made out where the sting had penetrated; and a minute inspection of the conjunctival surface with a good glass failed to reveal any foreign substance。 Cleansing the lid thoroughly; and carefully inspecting with a lens under strong light; a minute dark point was made out about the center of the lid。 Feeling that this might be the point of the sting; I had recourse to several expedients for its removal; but without success。 Finally; with a fine knife; I succeeded in cutting down by the side of the body and tilting it out。 Examination with a 1/5 inch objective confirmed my opinion that it was the point of the bee…sting。

〃The barbed formation of the point explains how; under the stroking with the finger; it was forced through the dense tarsal cartilage and against the cornea of the eye。〃

There is a story told in La Medecine Moderne of a seamstress of Berlin who was in the habit of allowing her dog to lick her face。 She was attacked with a severe inflammation of the right eye; which had to be enucleated; and was found full of tenia echinococcus; evidently derived 
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