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Travels in Turkey, Asia Minor, Syria, and across the desert into Egypt ...

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ON OPHTHALMIA. 39I<br />

ON OPHTHALMIA.<br />

ALTHOUGH much has been clone both by <strong>the</strong> rude <strong>and</strong> enlightened<br />

nations <strong>in</strong> <strong>the</strong> improvement of medic<strong>in</strong>e <strong>in</strong> its va-<br />

no means<br />

rious branches, still <strong>the</strong> field is ample, <strong>the</strong> art hav<strong>in</strong>g by<br />

atta<strong>in</strong>ed perfection. The communication, <strong>the</strong>refore, of <strong>in</strong>forma-<br />

tion acquired <strong>in</strong> practice, however trivial <strong>the</strong> facts may appear at<br />

first view, may, at a future period, be found useful to o<strong>the</strong>rs. Encouraged<br />

<strong>in</strong> this op<strong>in</strong>ion, I have been <strong>in</strong>duced to arrange what has<br />

occurred to me upon ophthalmia ; <strong>and</strong> shall be extremely happy if<br />

any good shall result from my observations <strong>and</strong> practice. For ex-<br />

cept <strong>the</strong> plague, I th<strong>in</strong>k <strong>the</strong>re is not a disease <strong>in</strong> <strong>Syria</strong> <strong>and</strong> <strong>in</strong> <strong>Egypt</strong><br />

which produces more dreadful suffer<strong>in</strong>gs <strong>and</strong> distressful consequen-<br />

ces than ophthalmia. The disease is <strong>the</strong>re endemial, <strong>and</strong> rages<br />

with violence annually, about <strong>the</strong> time when <strong>the</strong> Nile is low, <strong>and</strong><br />

<strong>the</strong> country <strong>in</strong> a state of extreme dryness.<br />

In <strong>the</strong> months of May, June, July, <strong>and</strong> part of August, <strong>in</strong><br />

<strong>the</strong> year 1801, ophthalmia raged among <strong>the</strong> English <strong>and</strong> Ottoman<br />

armies <strong>in</strong> <strong>Egypt</strong>. At that time <strong>the</strong> wea<strong>the</strong>r was extremely hot <strong>and</strong><br />

oppressive, occasionally accompanied by <strong>the</strong> kamps<strong>in</strong>, <strong>and</strong> by hot,<br />

scorch<strong>in</strong>g w<strong>in</strong>ds from <strong>the</strong> north-east <strong>and</strong> north-west, carry<strong>in</strong>g<br />

clouds of dust <strong>in</strong>to <strong>the</strong> atmosphere. The disease was <strong>the</strong>n common,<br />

<strong>and</strong> extremely distress<strong>in</strong>g; for <strong>the</strong> troops be<strong>in</strong>g encamped, no<br />

better shelter could be procured for <strong>the</strong> sick than a tent (those em-<br />

ployed by <strong>the</strong> Ottomans are made of th<strong>in</strong> cotton), through which<br />

<strong>the</strong> vivid <strong>and</strong> pierc<strong>in</strong>g rays of <strong>the</strong> sun easily pervaded, to <strong>the</strong> great<br />

annoyance <strong>and</strong> pa<strong>in</strong> of <strong>the</strong> suffer<strong>in</strong>g patients.<br />

The ophthalmy of <strong>Egypt</strong> did not appear to differ from what we<br />

had seen <strong>in</strong> <strong>Syria</strong>, i. e. at Jaffa, Ramla, Gaza, &c. At Jerusa-<br />

lem, at Bethlehem, <strong>and</strong> <strong>in</strong> <strong>the</strong>ir environs, <strong>the</strong> disease <strong>and</strong> its effects<br />

were manifested, though with less violence.<br />

It was pa<strong>in</strong>ful to view its effects at<br />

Jaffa, where it appeared<br />

to<br />

fne that <strong>the</strong> one half of <strong>the</strong> <strong>in</strong>habitants had lost ei<strong>the</strong>r one or both<br />

<strong>the</strong> eyes. Their houses are built of a white friable calcareous stone,<br />

die streets are very narrow, <strong>and</strong> <strong>the</strong>y live <strong>in</strong> a very conf<strong>in</strong>ed man-<br />

ner, tend<strong>in</strong>g to generate disease.

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