New-York tribune. [volume] (New York [N.Y.]) 1866-1924, 1888-09-16
4 NFU SURGICAL OPERATION.
rom Tho London Hospital.

From Tho London Hospital
Among The matter, Of interest which were brousts
before the British Medical Association al the recent
Glasgow mgeang. SAYS The Hospital wa an ac-
count By Mr. BrudeneH Carter OF a method which he
si devised for opening the sheath OF the opic neI.
behind the eye for the relief Of pressure within mo
cavity Of the skull The brain Is invesred by firm
membrane. which s,creie certain amount Of fluid,
ard are continued down to tAs eye IN tie form 81
ever lhe pressure within the cavity Of the hul IS IN
by excess Of s'crcfion nom ibs membranes them
selves a supersbundance of fund Is apt 10 find is
down the Lslyesueal 10 The level 81 Ine eye I'D
subject the optic nsrve to injurious pressure, and in
many cases 10 destroy the sight IT not infequenily
may - Increased iy fenporsry or durable causes.
which nevertheless. continue in action sufic emily
long 10 produce permanent blindness. even although
he patient may in other respect. recover In
view o. these conditions, ~ was suggested b. Or.
years ago that il might be possible 20
open tho optic nervc-sheaih. and thus rot only 10
relieve The nerve from pressure AID 10 pre,erve
0. the eye relatively to the brain cavity. 10 drain
a. well - h. eve. Dr. Dc wecker made two en-
fo, his way 10 the optic rerve without the aid -
slsht, and to nci'e The sheath by means Of an IN
projected by means Of spring The RISKS u fail
urs, ard , more tn. risks Of inhlcting rrpaTablc
sttsrp pied hs operation in TWO welI-ngh hopeless
ch.ss and snly enc attempt 10 follow his example
Ar. Carers atsnusn sas called to The matter
last year y 5sss "a which he dimnution o.
VEhlh Tue epic nerve was mani
fssS Desirable and he devised method Of operating
ey which the sksats could be exposed 70 view, and
Es o. sst attained with certainty under the guidance
81 s'ght a. every step OF the process. lie rad
before the Medical Society Of London last year
scsoutt CT The nPst In which he oDsrtei. which
was successful and be reed an account G.
three az Glasgow, IN one OF
which tho result was negative. as far as sight
concerned while IN the other two the patients were
not only quickly restored 10 useful visonin IT.
stance rom complete, in the other from nearly
plete. blndncss-but were az the time relieved
cured OF other symptoms, such headache and
sickness. arising from direct pressure the brain
In MS paper Glas COW. Mr. Carter claimed for The
new operation that r. could be performed with Ger
tainfv and without risk either to life or 10 any i'm
portant structure. and that II afforded a reasonable
prospect Of the preservation Of sight in many forms
Of disease in which n is now hahtuallv frequently
lost. As in the case Of every rev operation time
and further experience of its effects required I'm
order determine tie precise limits 81 rs usefulness
In the discussion which followed the paper, Mr.
Bicksron. OF Liverpool said thor. in consequence %
reading tho account of Mr. Carriers first case he had
himself performed the operation in two Instances; IN
one Of which temporary restoration o. sight fol-
lowed by reap,c. while In the second the ultimate
issue was favorable