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History of medical practice in Illinois - Bushnell Historical Society

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Ophthalmology 257tion <strong>of</strong> glasses when required, which is that they are not adjusted on anyscientific pr<strong>in</strong>ciple, but haphazard and that they, or an optician, or ajeweler who may sell spectacles, can select appropriate glasses as well as anoculist. An optician holds the same relation to an oculist as an apothecarydoes to a physician."In the year 1880, Dr. Montgomery as chairman <strong>of</strong> the Stand<strong>in</strong>g Committeeon Ophthalmology, described a case <strong>of</strong> double optic neuritis occurr<strong>in</strong>gfrom a "violent fit <strong>of</strong> anger" and successfully treated with leeches, potassiumbromide, chloral hydrate, mustard foot baths and laxatives. In asupplemental report, Dr. J.M. Everett <strong>of</strong> Dixon exhibited a magnet forremov<strong>in</strong>g iron from the eye and reported the discovery <strong>of</strong> homatrop<strong>in</strong>e,a new mydriatic, by Pr<strong>of</strong>essor Ladenberg <strong>of</strong> Germany.At the 1882 meet<strong>in</strong>g, Dr. Montgomery "called the attention <strong>of</strong> the <strong>Society</strong>to a card published <strong>in</strong> the newspapers by A. E. Pr<strong>in</strong>ce, M. D. Dr.Pr<strong>in</strong>ce admits that his acts, if not unpr<strong>of</strong>essional have been <strong>in</strong> bad tasteand calculated to lower the stand<strong>in</strong>g <strong>of</strong> the pr<strong>of</strong>ession. He further saysthat his attention hav<strong>in</strong>g been called to the impropriety <strong>of</strong> his acts, hehas entirely discont<strong>in</strong>ued such publication and that he will <strong>in</strong> future becareful to observe the code <strong>of</strong> ethics <strong>in</strong> its spirit and letter." At this samemeet<strong>in</strong>g Dr. Pr<strong>in</strong>ce reported as chairman <strong>of</strong> the Committee on Ophthalmology,attempt<strong>in</strong>g to <strong>in</strong>troduce the term "asthenopia atonica" for oculardiscomfort not on the basis <strong>of</strong> refractive errors or muscle imbalance, andrecommended read<strong>in</strong>g glasses with base <strong>in</strong> prisms for correction <strong>of</strong> thecondition.The follow<strong>in</strong>g year (1883), Dr. Jones presented an <strong>in</strong>clusive report onophthalmology at the State <strong>Society</strong>'s meet<strong>in</strong>g. He noted that "noth<strong>in</strong>g canbe done to stop the progress <strong>of</strong> a form<strong>in</strong>g cataract, and that only a surgicaloperation can remove it when formed," an observation which still holdstrue seventy years later. He stated that the use <strong>of</strong> eser<strong>in</strong>e had not supplantediridectomy for glaucoma. The lack <strong>of</strong> a cure for ret<strong>in</strong>al detachmentwas decried. Dr. Jones reported that "opticociliary neurotomy has <strong>in</strong> thelast few years been performed <strong>in</strong>stead <strong>of</strong> enucleation <strong>of</strong> the diseased eyeball(<strong>in</strong> sympathetic ophthalmia) but the result has, <strong>in</strong> so many cases,been so unsatisfactory that it has been practically abandoned and enucleation<strong>of</strong> the defective eye is still regarded as the ma<strong>in</strong> reliance <strong>in</strong> cases <strong>of</strong>threatened or exist<strong>in</strong>g sympathetic <strong>in</strong>flammation <strong>of</strong> its fellow." Attentionhad been called to the occurrence <strong>of</strong> idiopathic hemorrhage <strong>in</strong>to thevitreous humor <strong>of</strong> the young, similar tothe recurrent epistaxis which isso frequent at the same period <strong>of</strong> life. Other topics discussed were therecent <strong>in</strong>troduction <strong>of</strong> the electric light and possible advantages or disadvantagesto the eye, eye headache, color bl<strong>in</strong>dness, exophthalmos, and thelight<strong>in</strong>g <strong>of</strong> school rooms.

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