Chapter 17 - Surgical Diseases
Modern Surgery
Inflammation
Suppuration and Abscess
Mortification
Pyaemia
Ulceration and Ulcers
Boils
Carbuncle
Malignant Pustule
Burns and Scalds
Frost Bite
Chilblains
Mechanical,Injuries
Septic Wounds
Incised Wounds
Rules for Examining and Dressing Wounds
Antiseptic Dressings
Way Wounds Unite
Punctured Wounds
Lacerated Wounds
Granulation and Scarification
Gunshot Wounds
Poisoned Wounds
Fractures
Way Broken Bones Unite
Dislocations
Different Diseases of Bones
Pereostitis
Necrosis
Coxalgia
White Swelling
Bunions
Whitlow
Stiff Joint
Tumors
Cancer
Polypus
Piles
Wens
Aneurisms
Bronchocele
Water in the Scrotum
Blood in the Scrotum
Phlebitis
Varicose Veins
Hernia
Varicocele
Deformities and Irritations of the Spine
Wry Neck
Foreign Bodies in the Eye
Stye
Inflammation of the Edge of the Eyelids
Disorder of the Lashes
Ptosis
Chronic Inflammation of the Lachrymal Sac
Opthalmia
Inflammation of the Cornea
Inflammation of the Iris
Weakness of Sight
Imperfect Vision
Short and Long Sight
Squinting
Affections of the Ear
Inflammation of the Meatus
Wax in the Ear
Earache
Inflammation of the Tympanum, Deafness
Bleeding from the Nose
Ingrowing Toe Nail
Chafing and Excoriation
Foreign Substances
Bleeding from Wounds
Proud Flesh
Ambrine
Compression of Arteries to Stop the Flow of Blood
Anesthetics
Care of the Teeth
Rotting of the Teeth
Tooth-Ache
Filling Teeth
The First Teeth
Cleaning the Teeth
Ulcer of the Stomach
Glanders
X-Ray
Radium
Trachoma
Arterio-Sclerosis
Flatfoot
Riggs' Disease
Bandages

17.62 Squinting

Squinting. Strabismus.

In strabismus, the eyes are not parallel in their position and Motion.
It is supposed that one eye may become weaker than the other, or that the visual axis of the two may not be adjusted alike, so that one eye perhaps the more defective one turns aside to escape the distorted vision, or possibly the injury to itself which would follow the attempt to make eyes of unequal power work evenly together. The opposing muscles lose their counterbalancing force, and the internal rectus, gaining the preponderance, draws the eye inward, for the squint is more often convergent than divergent; that is, the eye turns in more often than out. Both eyes sometimes squint.

Treatment. In recent cases there is some chance of curing this complaint without a surgical operation. The patient should not be in the society of other squinting persons, so as to learn it by imitation.
In the first place care should be taken that the bowels are kept in good condition, and that the general health is well fortified by bathing, tonics, and exercise. The patient should be made to stand before a glass, and while he closes the sound eye, look steadily at some object with the squinting eye. Let him do this till the eye is a little tired; then let him open the sound eye, when the squinting one will turn aside. But by compelling it, in this way, several times a day, to work in a straight line, it may, perhaps, be taught to remain parallel with the other.
Nervine tonics, as strychnine (86), (94), (95), (316), will sometimes do good service; and electro galvanism has been found useful in many cases.
But in old and obstinate cases, the only cure is found in dividing the muscle which pulls the eye to one side, the internal rectus, if the eye is drawn in, the external rectus, if it is drawn out. INSERTIMAGE

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