^<«JMT- " cC 1 < caccc c CC<<0 c cetec o cc<■»*•*. ESt^Htai^ I I! SQ'C-QZ- ■:.'■„ :'^'j'c- ^ Surgeon General's Office Mc Jet fP echcn, No,-<- «/^ ^.n ^ox^QiggQ'Qt^- • •..■ i L-'^ *JVW*^ i K?«>v- !*P^K6^f4 ■■..... I.>1 . • » V> . I;. i*> 3*... p /& ? *..^i 3 &**ifr v »> •r^*-" •?$6?U* iJWF » ; i ■ P-- ■ ' "'■ TREATISE EYE AND EAR. TREATISE ON THE EYE AND EAR: RULES EOIi THE |)ttstrlmtio!i aitb §tstorafiou of Sijjit: DEAFNESS, ITS CAUSES AND PROGRESS EXPLAINED: NEW DISCOVERIES IN TREATMENT, ILLUSTRATED WITH NUMEROS CASES AND ENGRAVINGS : FREDERICK A. CADWELL, M.B. »•. # OCULIST AND AURIST, MEMBER OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF LOWER CANADA; MEMBER OF THE NEW YORK STATE MEDICAL SOCIETY; GRADUATE OF THE JEFFERSON MEDICAL COLLEGE, PHILADELPHIA, U. S.: LICENSED PRACTITIONER OF THE PROVINCE OF CANADA; ETC., ETC., ETC. FIFTH EDITION. CHICAGO: S. P. ROUNDS' BOOK AND JOB PRINTING HOUSE, No. 155 Randolph Street. 1859. CO |7 % 'xjXl'cfi Jem I DR. CADWELL'S SURGERY IS AT No. 93 RANDOLPH STREET, CORNER OF DEARBORN, Directly opposite the Revere House. Office Hours, from 9 A. M. to 6 P. M. Chicago, November, 1859. PREFACE. If any apology were needed in offering a work to the public, treating on subjects of so much importance as Sight and Hearing, which is not in reality a work of practical advantage either to the medical practitioner or the student in medicine, it will be found in the greater advantage which a work of this description is intended to afford to those into whose hands it may chance to fall. And in order that it may be read alike by rich and poor, and its contents carefully perused and duly appreciated, the Author has much pleasure in offering the fifth edition (20,000 copies) to the public gratuitously. With regard to the Author's qualifications for the task he has undertaken, he feels fully assured that every considerate reader of these pages will unite in acknowledging a decided preference for one who has devoted his labors and energies for upwards of Twenty Years to the acquirement of that knowledge which experience and practice can alone impart. And if it should subsequently appear that the public have profited X preface. by any of the few Hints and Cautions which may be gleaned from a perusal of these pages, the Author will feel more than recompensed for the labor he has be- stowed upon it. Chicago, 1859. INTRODUCTION. The present work being intended by the Author merely as a work of general information to all who may feel interested in its perusal, and not one of practical advantage either to the medical practitioner or student of medicine, the writer has, on this account, avoided referring to to the anatomical description of the Eye or Ear, or offering any remarks on their physiology, and confined his observations principally to a discussion of some-of their most important and dangerous diseases, with a few hints on the rise and progress of disease and advised means for the protection and preservation of both organs. The reader will be able, by carefully perusing these pages, to draw much information relative to these two useful organs, and the diseases to which they are subject. He will discover that diseases of the Eye are variable, numerous and complicated; more so than those affecting any other organ of the body. He will discover that they arise from causes as numerous as the diseases themselves, and are subject to as many x[i INTRODUCTION. modifications. He will readily be abk to determine how diminished are his chances for obtnining relief in such cases by the course usually pursued, and will not fail to be warned of the danger of trifling with organs so essential to the protection and preservation of life and happiness. The reader must also discover how difficult, and in- deed impossible, must be the proper understanding of these diseases, even by medical men of talent, who do not devote their entire attention to them. Long experience has taught me the great necessity of patient investigation of the whole system, before proceeding to treatment, however simple the case might appear to be; for a disease which has the appearance of a purely local affection frequently proves to be of a X very different character, and connected with some dis- tant disturbance. In fact, it may be put down as a general rule, that but few affections of either the Eye or Ear are of a purely local character, except they be the result of accident; and certainly by far the most serious of the morbid affections of the Eye and Ear are of spontaneous production, growing out of, or in some way depending upon, disturbances of other im- portant organs, or of the system generally. I have taken pains to avoid technicalities throughout this word, and laid before the reader a plain statement ' of facts, and enumerated some of the more important features and early symptoms of disease of both organs. introduction. xiii I have given in each case but a brief description of the rise and progress of the different diseases, and endeav- ored to point out as plainly as possible some of the dangers which diseases of these organs frequently entail. And though it would be impossible to direct any plan of treatment for the cure of such cases with- out having the patient before me, still I hope my remarks w^l not be forgotten or allowed to go unheeded by those who are disposed to try every absurd and vul- gar prescription advised by the ignorant, and recom- mended by quacks and conjurers. Never, under any circumstances, suffer your Eyes or Ears to be trifled with by unskillful hands; and if you have diseases of these organs that your physician cannot overcome, de- pend upon it you will not profit much by the recom- mendations of others. Take your chances by rest and diet, or cold and warm water applications, till such time as you can with more confidence consult one experienced in the treatment and management of such diseases. If what I have said on the importance of seeking early and immediate advice in such cases, shall have the effect to avert one single case of blindness, or deter another from the thoughtless use of improper treatment likely to injure or destroy the hearing, I shall feel fully compensated for the labor I have bestowed on this work, and I trust, while I remain in Chicago, to receive, as heretofore, continued evidences of the just appreciation of my services as an operator on the Eye and Ear. « I TREATISE ON THE EYE AND EAR. DISEASES OF THE EYE AND EAR A SEPARATE STUDY. It is the custom in the Old Country, and one that . should be followed in every other, to make the Diseases of the Eye and Ear a separate study, and a distinct branch of the medical profession. Any one who does not devote his whole energies to the acquirement of a proper knowledge of these two important diseases, and the innumerable and complicated changes to which they are subject, could not possibly expect to attain any remarkable degree of proficiency in the treatment and management of them. These diseases are far too 10 treatise on the eye and ear. numerous and complicated to be picked up by casual observation, much more to be treated successfully under all their varied modifications and changes. It is to the labors of men regularly educated to the medical profession, but who have devoted themselves in a practical manner to Opthalmic and Aural Surgery, that we are indebted for our most valuable information respecting these two important organs. In curing diseases of the Eye and Ear, he only who is well acquainted with the general principles of Surgery, as well as with the peculiar remedies required for many of their diseases, and can apply such princi- ples by analogy to the structure, functions and diseases of these organs, can hope to practice with safety and success; and no one can expect to succeed as an Oculist and Aurist who is not well acquainted with the consti- tutional as well as the local causes of disease, and with the effects of remedies as they operate on the general ystem. Any person possessing common understanding would at once be convinced that diseases of these organs are too complicated, and far too delicate to be handled roughly by inexperienced persons, or their diseases to be judged of and treated with success by the unskill- ful and ignorant pretender. In fact, (and I hope the medical profession will excuse me,) too much reliance is often placed by patients on their medical attendant, and by this means it often happens that an eye is lost, or the hearing destroyed. treatise on the eye and ear. 17 NO CHARGE FOR AN OPINION. Any one desirous of having my opinion of any case relating to either the Eye or the Ear, will at all times receive the same without charge, if application be made in person. I am generally able to inform the inquirer, by a moment's inspection of the organ, whether or not a cure can be effected; if not, whether relief can be given, and to what extent. My motives for giving advice gratuitously in such cases are, that those who reside in the country, as well as in the city, need not abandon their cases as hopeless and incurable because they have been unsuccessful in obtaining relief through other hands, or because they have been told they are incurable—for many cases, I am sorry to say, have been suffered to continue unattended for years, and only by some accidental circumstance patients have discovered that their disease was readily curable. DANGER OF WRONG ADVICE. It is a matter of some consequence that every per- son's mind be rightly informed on all subjects, but more particularly those in which we have an interest, or on which our happiness depends. If we are not familiar with any particular subject, we are not capable of giving a reliable opinion; gratuitous advice administered in this way involves too much risk and hazard; and, like the inexperienced pilot who attempts the navigation of a vessel through a dangerous and rocky channel, igno- rant of the danger that lies before him, till at last he finds himself, with his noble craft, tossed upon the rocks, a lasting memorial of his incapacity and folly. I 18 treatise on the eye and ear. cannot, therefore, too strongly condemn the practice ; some relief, if not a complete cure, from her long suf- ferings. But for the last few months her eyes had become progressively Avorse, even Avhile under treat- ment, and the sight nearly destroyed. While in this condition, I heard of the extraordinary and marvelous cures performed by Dr. Cadwell, of this city, and I lost no time in taking her to that gentleman for examina- tion, and if possible, for cure, and received his assurance that bad as her case then Avas, the disease could be completely removed. His treatment of her case com- menced on the eighth of July, (not yet two months,) and I have much pleasure in stating that her disease is entirely removed, and she can see to read and sea) nearly as Avell as ever; and it is Avith some difficulty that I can restrain her propensity for using her yet delicate organs for such trying purposes. It Avas but a few days after Dr. C. commenced treat- ing her case before a marked improvement became visible, and nothing has since occurred to interrupt the current of her success ; and although she has not yet been dismissed from treatment, OAving to the severity of the case, she is nearly if not quite cured, but as a matter of prudence and safety, is advised to continue her attendance for a Avhile, to avoid the possibility of a relapse. I may also here mention that her general health —Avhich has been very indifferent most of the time since her eyes Avere first attacked—has undergone a decided improvement. Tavo other members of my family have since been placed under Dr. Cad well's treatment for a similar though less serious affection, and from present appearances, are most likely soon to be stricken from the list, as additional evidences that in this class of diseases, at least, he is perfect master of 174 CERTIFICATES. liis profession, and I, for humanity's sake, do most cor- dially recommend the afflicted to his care, JONES PATRICK, Master Mechanic and Engineer, October 1st, 1859. 204 North Union Street. Little Girl Three Years of Age cured of severe Inflam- mation of the Eyes. I am most thankful for the opportunity offered me of adding my humble testimony to the numerous cer- tificates you possess, in having within a feAV Aveeks , past removed a very serious and protracted disease from the eyes of my infant daughter, noAv but three years of age. She took cold Avhen about four months of age, Avhich settled in her eyes, and from that time until I brought her to you, she has never been free from the disease, and her eyes gradually grew more misty, until the organ seemed almost concealed from view. Having but little confidence in the ability of regular practitioners, I never allowed her eyes to be treated by them; and lmlng also a greater horror of quacks and impostors, I preferred to take my chances that under our OAvn care and attention she Avould fare much better, until such time as I could find some one more skilled in that particular. Your treatment of her case during the short period she was under your charge, has given me entire satis- faction, as she can noAv open her eyes to ordinary light, without the least trouble, and bears exposure to the sun Avith astonishing ease. Her eyes are bright and clear, and possess more strength than I supposed she would ever enjoy, from being in so young and tender a subject. CERTIFICATES. 175 For this great blessing, please accept my most sin- cere thanks, and be assured I shall sound your name abroad, in terms of merited praise, for the very satis- factory manner in which you have treated dear little Clara, our only treasure. HAZAEL NEWCOMB. Two Rivers, Oct. 3d, 1859. Blindness, accompanied with very feeble health, cf Four Years' standing.—Health and Sight both restored in One Month. I certify that my Avife Margaret, aged twenty years, Avhose home is in Muskegon, Mich., has been blind for 1 about one year, from inflammation of her eyes, caused by taking cold. I had her eyes treated 1 >y several doctors where I reside, but she got worse, from time to time, and at last was so completely blind that I was much afraid she would never recover her sight. Her blindness Avas also coupled with very bad health, Avhich rendered her quite helpless. When I tool: her to Dr. Cadwell, about the first of September, slf could not ■stand upon her feet alone, and Avas also entirely blind. In one month she has recovered both health and good sight, has a good appetite, and is very fast recovering her usual health. Her eyes are also quite well, and free from inflammation, and she will in a few days \ return to her friends in Michigan. FRANK KUIIN. Chicago, Sept. 5th, 1859 LETTERS PROM MEDICAL GENTLEMEN AND OTHERS. Letter from Dr. MARSDEN, of Quebec. Quebec, 18th Sept., 1848. Dr. F. A. Cadavell: Sir: I ha\re much pleasure, on the occasion of your departure from Quebec, after a residence of up- Avards of twelve months, in testifying my opinion of the general success of your practice, as an Oculist and Aurist, in this city, and wherever I have had an oppor- tunity of Avitnessing it. Having had occasion to assist you in many of your most important and critical operations on the eye, I can bear testimony to the uniformly skillful manner of operation, and the generally successful character of them; and I congratulate the afflicted in either of those organs, on the opportunity that your presence among them will afford, of obtaining as great an amount of relief as human means can effect. Although to particularize any operation in preference to another, where all are good, may seem invidious, 12 17S LETTERS. yet I cannot but remark that your operation for fistula lachrymalis (which I have several times Avitnessed,) is an unrivalled piece of surgical skill and tact. Wishing you continued professional success, I have the honor to be, Sir, Your most obedient servant, WM. MARSDEN, M. D. Certificate from VALENTINE MOTT, Professor of Sur- gery in the New York Medical University. Understanding that Dr. Cachvell intends leaving the city for a residence in the country, it gives me pleasure to state that I have had frequent intervieAvs and con- sultations Avith him. I feel a confidence in recommend- ing him to the notice of those among Avhom he may reside. VALENTINE MOTT. New York, July 13, 1844. Another from the same. New York, October 10th, 1840. Dear Doctor: Your letter of the 4th instant Avas received to-day., I am pleased to hear that you have located yourself in Montreal, and shall be glad to hear of your success; LETTERS. 179 and any service I can render you in the way of advice Avill be cheerfully furnished on all occasions. From the opportunities you have had in this city, of acquiring a knoAAdedge of the profession, I feel confident you Avill be able to establish yourself with character and usefulness in Montreal. With the best wishes for the prosperity of yourself and family, I remain ATery respectfully yours, VALENTINE MOTT. Letter from the Rev. JAMES COOK, D. D., Bishop of Three Rivers. A [Translated from the French.] Dear Doctor: I hear, with pain, that you are about to leave us. The pleasure of your acquaintance and of your com- pany, and the service you have rendered a large num- ber of my parishioners, by the able exercise of your noble profession, imposes on me the obligation to thank you, and to assure you that the news of your return amongst us will be most agreeable. Miss Cooke, Avho submitted to an operation by your hands, has noAv her mind tranquilized as to the danger i of losing an eye. Mr. Dostie is highly pleased with the success of your treatment. His eyes are perfectly cured. He will himself explain to you by writing all ' his acknowledgments. It is the same with our Rev- 180 LETTERS. crend Mother Superior, who has had a more grand evi- dence of your care and attention in her behalf. Health, happiness and prosperity be with you and your respectable family. Is the sincere wish of your very Humble and mo4 obedient Servant, J. COOKE, Bishop of Three Rica*. To F. A. Cadavlll, Esq., M. D. OPINIONS OF THE PRESS. Successful Operation on the Eye of a Young Woman, Twenty-One Years of Age, Blind from Birth. [From the Londou Times,Nov.. 1SJ2.] The following account of an extraordinary and sue- ^ cessful operation on the eye, related by the Prantford Expositor, is certainly calculated to create a hope in the minds of those who may be afflicted with a similar malady, that there may yet be a possibility of getting it removed—at any rate it Avould be Avell for all such, while they have the opportunity, to apply to so skillful an operator. The Avriter says : " Miss Sarah Hawley, of the ToAvnship of Malahide, in the County of Middlesex, was born blind, and for twenty-one years she groped her Aveary Avay through life, in totaf darkness. The disease which had entirely obscured her visual organs Avas Cataract, and in the hope that something might be done for her by Dr. F. < A. Cadwell, Oculist and Aurist, of Toronto, the friends of the blind girl brought her to Brantford a few Aveeks since, Avhere the Doctor was professionally sojourning. An examination was made, and the Doctor pronounced 182 OPINIONS OF TRE PRESS. his patient curable, and on the 21st he made an opera- tion upon her eyes, Avith complete success. To describe the sensations of the young lady when the first welcome ray of light entered her hitherto sightless orbs, Avould be beyond our power. In an instant, as if by magic, the idea of material things which she had cherished so many years through the sense of feeling, were entombed in memory. A new and bright Avorld, full of light and life, full of wonder and admiration—terrible, because hitherto unknown, in its realized beauty and grandeur, arose before her. She looked and trembled ; she shook from head to foot like an aspen leaf; and unable to utter a Avord, she gazed in wild astonishment on the scene before her. When her emotion had somewhat subsided, Dr. Cad- Avell enquired if she saw him. 'Yes,' said she, 'I see you. Oh! how white you look.' Subsequently she noticed a pair of brass candlesticks in the room, and inquired Avhat they were. On being informed, she Avas incredulous. The ideas Avhich she had formed of a candlestick were far different from those which her new- born sight conveyed. The candlesticks were brought to her—she handled them and exclaimed, ' Oh yes! they are candlesticks—how bright they look.' Dr- Cadwell showed her his gold Avatch, and inquired if she kneAv what it Avas. She answered in the negative, and on being informed, she said, ' Wrhat a queer thing it is ; both sides of it are not alike.' We may add, that the young lady's sight is daily improving in strength, and that she returned to her home in Malahide, a few days since, rejoicing in the OPINIONS OF THE PRESS. 183 HOPE FOR THE AFFLICTED. [From the New York Times. 1837.] A tumor of enormous size, weighing 61 lbs., and measuring nearly thirty inches in circumference, was successfully removed on Thursday last, June 2 2d, from the breast of a female, 32 years of age, by a promising young surgeon of this city, Dr. F« A. Cadwell, Avho operated Avith mature skill and unshaken confidence. The tumor, Avhich included the Avhole mamma, extended from the breast-bone to the arm-pit of her right side, occupying an immense surface, and connected with the ribs at several points. This great mass of diseased matter Avas of four years' standing, and for several months its burdensome Aveight compelled the patient to support it in a sort of sack suspended from the neck. Twenty-three arteries were secured during the nice operation. I had the pleasure of examining this exten- sive morbid specimen since its removal, at the office of the surgeon, 87 East Broadway, and consider it a great natural curiosity. The patient, whom I have also seen, is in good cheer, and her appearance bespeaks and indicates a speedy restoration of famous health. IMPORTANT OPERATION ON THE EYE. [From the Hamilton Gazette, Feb. 28,1S52.] 1 On Tuesday last, Ave witnessed a very difficult and important operation performed on the eye of a Mr. Culham, Avho resides in the vicinity of Toronto, by Dr. 184 OPINIONS OF THE PRESS. Cadwell, Oculist, of this city. The operation consisted in the removal of a cancerous tumor about the size of a common hickory nut, Avhich had groAvn from the back part of the socket of the eye, and behind the ball on the side nearest the nose. It was about 1 a inches deep, from the surface, taking root near the optic nerve and artery, and had thrown the eye forward and outward for half an inch either way, causing much pain and uneasiness, and producing great deformity and partial loss of vision. Dr. Cadwell was assisted in this opera- tion, by Drs. Hunter and Duggan, and its removal was successfully completed in about twenty minutes. Much skill and judgment of necessity is required to conduct such an operation, owing to its importance and close proximity to the brain, and we can only say that the operation was skillfully and satisfactorily performed. The disease Avas of such a nature as to make a surgical operation indispensable to preserve life, and had been only two months since it Avas first discovered by the patient, who, becoming alarmed for his ultimate safety, sought for relief, Avhich we trust, by his bold and de- cided measure, he will ultimately obtain. We learn, upon enquiring, that the patient is doing well, and is likely soon to recover both sight and health. We would here take occasion to remark that Dr. Cadwell's practice in this city has, as we have been repeatedly informed, been attended Avith most desirable success—and many afflicted with blindness, deafness and other defects of these delicate organs, have found relief at his hands. We learn that at the solicitation of several patients and others, he has consented to remain a few weeks longer. OPINIONS OF TUE PRESS. 185 AN ARTIFICIAL EYE. ( [From the Provincialist.] We Avitnessed, a feAV days ago, a very interesting operation. Mr. Isaac Kelly, near Ancaster, Avho Avas deprived of the use of one of his eyes Avlien a boy— the part had completely fallen in—placed himself in the hands of Dr. Cadwell, by Avhom a false eye, a perfect likeness of Mr. Kelly's good eye, Avas introduced upon the remains of the injured one. The change was aston- ishing ; it completely transformed a half-withered fellow mortal into a fresh, youthful human being, making him appear at least ten years younger than he Avas ten minutes before. The operation was attended with very little pain, and the neAv eye partakes of the same mo- ^ tions as Mr. Kelly's sound eye. No person could perceive the difference ; it has but one defect, it cannot see. We might add that the crowds who daily attend Dr. Cad well's rooms, afford the best evidence of how his skill in operations on the eye and ear, are appreciated. Indeed, until Dr. C. came amongst us, we never supposed that so many persons were afflicted Avith diseases of those useful organs. OPERATIONS ON THE EYE AND EAR. [From the London Odd Fellow.] We have no hesitation in stating that this gentleman's operations on the eye and ear, in upwards of seventy cases, during his stay in London, have been most sue- 186 OPINIONS OF THE PRESS. cessful, and have given the greatest satisfaction. Many persons will take leave of the Doctor Avith regret, and some scores of persons have good cause to rejoice and be thankful that he has visited London. The individual cases are too numerous to particularize, and those which came under his successful treatment have been already multiplied to an extent Avhich requires no additional evidence for convincing the public that Dr. Cadwell is not only a scientific clever man, but a first-rate practical Surgeon. He will visit London early in the Spring. EYE AND EAR. [From the Kingston Whig.] Dr. Cadwell.—This very eminent Oculist and Aurist, after a most successful sojourn in Kingston, will leave this city to-day for Belleville carrying Avith him the heart-felt thanks and good wishes of his numerous pa- tients, many of whom he has perfectly cured, and all of Avhom he has most successfully treated. To our country friends and readers in and about Belleville, Ave can safely and cordially recommend Dr. CadAvell as a practitioner who will fulfill all he undertakes to perform. lie cannot restore sight to the totally blind, nor hearing to the deaf, but he can and will remove disease wherever it is practicable, and Avithin the reach of art and science. Dr. Cadwell is no Charlatan, but a regularly bred and licensed Physician and Surgeon, Avho has devoted years of study in obtaining a thorough knoA\ledge of his most difficult branches of the Profession. The irregularity of " advertising," which subjects him occasionally to ill- OPINIONS OF THE PRETS. 187 natured remarks, in a country like Canada, is an irreg- ularity of necessity—for were he to wait on patients unannounced, such is the jealousy among Medical men here that he would be obliged to leave the place he visits, ere any one Avould be acquainted Avith his presence. SIGHT RECOVERED, ETC. [From the St. Catherines Constitutional.] Dr. Cadwell.—It has been our privilege, within the last week, to see this gentleman perform several opera- tions of a somewhat serious nature, with the greatest success. Two of the subjects operated on were cases of complete blindness from cataracts on the eyes. The first was that of a young man avIio was deprived of his sight for the last five years, but who Avas immediately relieved, and is noAv doing well. The other case Avas that of a little boy of five years old, Avho was born blind, but who now sees clearly, under the excellent treatment of the Doctor. His delight at seeing the different objects seemed great indeed, and he is noAv doing well, and enjoying all the " blessings of the light." Several important operations have also been made on the ear, with equal success. We advise all those afflict- ed to avail themselves of Dr. C.'s services, while he is in town. CRITICAL SURGICAL OPERATION. [From the Toronto Globe, March 20th, 18£7.] John Wilson, of Peterborough, aged twenty-three years, had an operation performed on his eye by Dr. Cadwell, of this city, for the removal of a large tumor, 188 OPINIONS OF THE PRESS. which was first discovered about thirteen years ago. The disease commenced at the bottom of his right eye, behind the ball, and had attained an enormous size, completely forcing the eye from its socket, and pro- ducing dreadful deformity. This diseased mass Avas successfully removed, a day or tAVO since, by Dr. Cad- Avell, assisted by Drs. Aikins, Ogden and Rowell. The patient, Ave learn, is doing well, and but little doubt is felt as to his speedy recovery. A truthful sketch Avas made of the patient, exhibiting the appearance of the eye before the operation, Avhich may be seen on appli- cation to Dr. C. The disease partook of two charac- ters. A*iz: fibrous and steotomatous. MAIN ARTEBY OF THE NECK TIED, AND A TUMOR REMOVED FROM THE EYE. [From the AVatertown Register.] It is Avith great pleasure that Ave give place to the following tribute to professional skill. From our infor- mation, had Ave not believed it richly merited, Ave should have promptly declined to give it publicity. Regarding it as Ave do, Ave invite the attention of our readers to the facts therein set forth : "Mr. Editor:—AHoav me, through your columns, to call the attention of the public to an operation performed September 10th, 1840, on Mrs. Grout Hossington, of Ellisburgh, by Dr. F. A. CadAvell, of Watertown, for an aneurismal affection of the face, commonly called an aneurism by anastimosis or pulsating tumor, to cure which it became necessary to take up and apply a liga- ture to the common Carotid or main artery of the neck. OPINIONS OF THE PRESS. 180 It is an operation Avhich is very seldom performed, and is attended Avith great risk and danger. I have been myself a practising physician for ten years in the city of NeAV York, and never before had an opportunity of Avitnessing the operation. The tumor was large, and occupied the Avhole right side of the face, extending from the orbit, crowding the nose to the left side, and producing great deformity. It had been about one year in progress, but lately its growth had been so rapid, and became so exceedingly painful, that the pa- tient decided upon an operation as the only means of saving her life. Mrs. H., though sixty years of age, and of nervous temperament, bore the operation with astonishing fortitude, being fully confident that it Avas a necessary expedient. Doctors Eastman and Jones, together with myself, were present at the operation, and will no doubt cheer- fully bear Avitness to the skillful manner in Avhich it was performed. I have merely to add, that the result Avas perfectly successful. I saAv Mrs. H. a day or two since; her general health is good, the ligature has come away, and the tumor has entirely vanished. In fact, she is re- stored to her family—a living eAridence of the triumph of surgery. With great respect, I remain, Yours, &c, JNO. BINSSE, M. D. CATARACT OF THE EYE EXTRACTED. We would also call attention to an exhibition of the same gentleman's surgical skill in operating upon the eye of Mrs. ToAvne, of Factory Village. The lady had 190 OPINIONS OF THE PRESS. been totally blind for six months, and in one eye for four years; she is noAv 60 years of age. The opera- tion, Ave are told, is one of the most difficult character, and requiring professional skill second to no operation ever undertaken by surgical hands. We had the pleasure of Avitnessing the operation, and have frequently heard it spoken of in terms highly com- plimentary to the professional acquirements of Dr. Cad- Avell. The disease requiring the operation, is termed, in professional parlance, a cataract. The operation was the "extraction of the cataract," through an artificial opening made by a knife in the anterior portion of the eye. The result, as Ave are happy to learn, has more than realized the expectations of Mrs. Towne and her friends—no sooner Avas the convex lens of the eye ex- extracted, than the hght of clay burst in upon the aged matron, who had endured a night so long and tedious. She is now, as Ave learn, fast recovering, and will, in all probability, ere long, with health and sight, be pre- pared for the discharge of her duties as a useful mem- ber of society. DELICATE OPERATION. [From tho Montreal Herald, Sept. 15,1S16.] Yesterday Ave had the pleasure of seeing a patient of Dr. Cadwell, upon Avhoni he had operated for deafness and dumbness. She is a young lady of less than fifteen years of age, and had, as Ave were informed, been deaf and mute from her birth, although both of these afflic- tions had been lessened for some years past. Dr. Cad- Avell haying been consulted, was led to believe that the seat of the disease was in the throat, where he remarked OPINIONS OF THE PRESS. 191 two vascular tumors; he accordingly removed these excrescences, and has succeeded, as he believes, in effecting a cure. The young lady appeared to hear the ticking of a closed watch with great facility, though she Avas unable to do so Avhen it Avas open previous to the operation. She did not appear able to pronounce more than a feAV French Avords, and these Avith some difficult};, but a gentleman avIio accompanied her (her uncle Ave believe) appeared extremely satisfied Avith the result in the improvement of her hearing. OPERATIONS ON THE EYE AND EAR. [From the Montreal Transcript.] It is highly gratifying to learn that Dr. CadAvell, the eminent and skillful Oculist from New York, is working miracles in the Avay of restoring lost and injured sight and hearing. We are informed that many hopeless cases of blindness and deafness have been restored perfectly by this gentleman, Avithin the last two or three Aveeks—and that diseases of the eye and ear of the most formidable character, have been most success- fully treated by him, AAThile many others are under pro- cess of treatment. We have heard his operations and their success spoken of in terms highly complimentary, and Ave sincerely hope he will receive merited patron- age from those who need such assistance. DR. CADWELL'S LECTURES, l [From the Slierbrooke Gazette.] The lectures of Dr. Cadwell on the eye and ear, which were announced last week, were well attended, 192 OPINIONS OF THE PRESS. and as far as Ave have learned, gave general satisfaction. I lis illustrations, with anatomical specimens both of the eye and ear, of the structure of these delicate organs, and the diseases to-Avhich they are subjected, Avere highly interesting, and showed the importance of pos- sessing the highest skill by the practitioner who at- tempts to treat the complaints to which they are subject. THE EYE AND EAR, [From the Sherbrooke Gazette.] We solicit the attention of our readers to the notice of Dr. CadAvell, Oculist and Aurist, from Montreal. Dr. CadAvell brings testimonials of skill and ability in his profession, of the highest character, from such med- ical men as Dr. Marsden, of Quebec, and Dr. Valentine Mott, of New York, and also from a great number of his patients, who all unite in bearing unqualified testi- mony in his favor. Those who are afflicted in either of the above organs, Avill do Avell to avail themselves of the opportunity noAv afforded for obtaining relief. EYE AND EAR. [From the Hamilton Journal.] We are happy to inform those parties suffering from complaints of those delicate organs, that Dr. CadAvell intends remaining in this city until the 15th of April next—therefore all requiring medical aid for defect of either vision or hearing, had better avail themselves of the generally acknoAvledged skill of this eminent ope- rator. OPINIONS OF THE PRESS. 193 [From the Chicago Sunday Leader, Feb. Cth, 1859 ] SKILLFUL SURGICAL OPERATION. A YOUNG GIRL BLIND FROM BIRTU INSTANTLY MADE TO SEE! We were invited to witness a surgical operation on Thursday last, the results of Avhich Avere so gratifying to all present—particularly so to the subject—that Ave take pleasure in giving publicity to the occurrence. Miss Alice C. Wedge, daughter of Joseph Wedge, farmer, of Plattsville, Kendall Co., aged eight and a half years, has been blind from her birth, until Thurs- day last, Avhen she instantly received sight, through a skillful operation performed by Dr. F. A. CadAvell, late of Toronto, C. W., and noAv of this city. The opera- tion Avas performed in presence of several distinguished medical gentlemen of this city, and others, who ex- pressed themselves in glowing language over its happy results. The disease Avhich had so completely obscured the A'ision of the child is termed, in professional par- lance, cataracts; to remove which requires great skill, a steady hand, and a perfect knoAvledge of that delicate organ, the eye. The whole time consumed in the operation did not exceed a half minute—the hght of day at once burst in upon those hitherto sightless eyes, and she had a realizing sense of the grandeur of mate- rial things before her. It Avas intensely interesting to Avitness the surprise depicted upon her countenance, as A'arious articles Avere exhibited to her. She knew nothing about them! Even a hand held before her she (iould not designate by name. But she will not long remain unfamiliar Avith the beauties which this new- born faculty wTill disclose to her vision; and among the o 194 OPINIONS OF THE PRESS. pleasant and delightful objects she Avill be permitted to look upon, Ave opine the face of Dr. F. A. CadAvell will be the one most calculated to inspire her with heart-felt enthusiasm and admiration. Dr. CadAvell, a feAV days since, performed a very successful operation upon the eyes of a Mr. Samuel Sherman, who had been blind for several years, noAv stopping at the house of P. W. Gates, Esq., of this city. It consisted in extracting a cataract through an artificial opening made Avith a knife in the front of the eye. In less than ten minutes after the operation, Mr. Sherman could readily recognize those he kneAV, though he had not been able to do so for years. We take pleasure in adding that Dr. Cadwell's oper- ations during his sojourn amongst us, in upwards of one hundred and fifty cases, lnrve been most successful. As an oculist and aurist, he is unquestionably the most skillful practitioner in the West, and Ave heartily con- gratulate him on his success. Those Avho have been made happy through his timely aid, will doubtless echo our sentiments. [From the Chicago Sunday Leader, July 24th, 1359.] SURGICAL SKILL. The name and fame of Dr. F. A. CadAA'ell, Oculist and Aurist, of this city, is becoming so extensively knoAvn throughout the North-West, that it seems hardly necessary to make farther allusions thereto. But as a just tribute to his skill, the writer of this feels called upon to certify to the unexpected and lasting relief he has experienced from the Doctor's treatment. One of the editors of this paper has been afflicted for thirty OPINIONS OF THE PRESS. 195 years with a very unpleasant and distressing disease of the ears, Avhich has subjected him to much mortifi- cation and annoyance, causing partial deafness. Five or six sittings under Dr. Cadwell's treatment has effected a radical cure, and Ave are noAv completely restored. A young lady from Kenosha, whose otherwise attractive and beautiful face Avas seriously disfigured by a pair of "cross-eyes," had them both straight- ened through an operation at the Doctor's hands, and although Nature had been lavish in her gifts Avith the lady, her friends all admit that Art has finished the picture most admirably. And yet the operation Avas almost instantaneous, and unattended Avith pain. Other instances of extraordinary success in surgery by Dr. CadAvell might be mentioned, but it is sufficient to say that Avherever human aid is of any avail, the blind and deaf always receive speedy relief by his superior treatment. We are pleased to add that the Doctor's business is a profitable one. JOHN" WILSON", Jr., OF PETERBOROUGH, FViolcgrapheu iv IsuI'mju, Tcronlo. ^s» ZZS ./\.:E»:E:»:E3.A.:FL:E3D A few minutes before submitting to an operation for the extirpation of a diseased Eye, Avhich had existed for THIRTEEN YEARS. The entire Eye, with its accompa- nying disease, was successfally removed by an operation performed on the 17th March, 1857, by Dr. F. A. Cadwell, of Toronto. The mass when removed measured three and a half by two inches, and weighed nearly four ounces. Complete recovery in thit> een days. CASES AND OPERATIONS. The following cases, as drawn from my journal, will give a tolerably good idea of the various causes which operate to promote diseases of the Eye and Ear, and the time that is usually required to effect a cure or produce such change as the nature of the case will admit. Many of these cases will be found highly interesting to the reader, being the most extraordinary on record; and at the same time they furnish ample proof of the almost miraculous triumph of science over disease, and that, too, under circumstances almost AAith- out hope: CASE 1. Description of the Case of JOHN WILSON. John Wilson, Jr., of Peterborough, aged twenty- three years, accompanied by his father, made applica- tion to me on the 10th of March, 1857, to obtain my opinion and advice respecting a disease of his right eye, Avhich made its appearance thirteen years previ- ously, and Avhich had of late years begun to assume a most formidable and alarming character. He had con- sulted Avith prominent and skillful medical men, both 198 CASES AND OPERATIONS. in the Old Country and likeAvise here, and as he was greatly alarmed at its enormous size and rapid growth, he sought to obtain my opinion. After a careful exam- ination, I had no hesitation in advising an operation for the removal of the entire mass, the eye included, as the only means of saving life, and stated at the same time that the operation Avould be attended Avith great risk and danger to life, as well as being extremely diffi- cult to perform. The father assumed the responsibility in behalf of the son, and a consultation of physicians Avas called, Avho perfectly coincided Avith me in my vieAvs, and after a feAV days' preparation, the operation AATas fixed for the 17th of March, at 12 o'clock. THE OPERATION. The day arrived, and all parties being ready, the operation was performed by myself, Avith the able assistance of Drs. Aikins, Ogden and RoAvelL There Avere also present a number of other medical gentlemen and medical students, and a feAV curious spectators. Chloroform Avas administered to the patient, but he could not be got completely under its influence, and therefore suffered considerably from the pain. The operation being attended Avith great danger, owing to the supply of important blood-vessels, Avas necessarily con- ducted Avith great care and caution, and occupied the space of one hour, including several interruptions, for the purpose of resting the patient, and enabling the operator to more carefully examine the progress and condition of the Avork; and at one o'clock the entire mass Avas removed, doAvn to the very bottom of the socket, and Avhen examined presented an irregular mass of fatty and fibrous matter, measuring three and a half CASES AND OPERATIONS. 199 inches in length, by tivo inches in Avidth, and Aveighed nearly four ounces. The patient suffered considerably by loss of blood, and pain, but had no bad symptoms follow; he was attended daily for a week or more, and his wound gave him but little pain. The whole socket rapidly filled Avith healthy granulations, and without excess of inflammation, and he Avas able to visit me at my office on the eleventh day after the operation Avas performed; and as he was then gaining in health and strength fast, he Avas allowed to return to Peter- borough Avith his father on the thirteenth day, fully recovered, leaving behind a mass of corruption and disease Avhich had caused him much suffering, both mental and physical, for a period of thirteen years. The father informed me that he consulted several eminent medical gentlemen before leaving Ireland, in 1850, but that none of them would undertake to remove it, and therefore the disease had attained a much greater size since, and giA'en more occasion for alarm. This morbid specimen I have preserved, and shall at any time take pleasure in showing it to any of the medical profession, or others Avho may be curious to see it. CASE 2. Certificate of Miss HAWLEY, Blind from Birth, Twenty- One Years.—Received her Sight by an operation per- formed by Dr. Cadwell. This is to certify that Miss Sarah Hawley, of Mala- hide ToAvnship, in the London District, Canada West, aged twenty-one years, (an orphan,) Avas born Avith Cataracts, and Avas in consequence entirely blind. 200 CASES AND OPERATIONS. She remained destitute of sight during the Avhole course of her natural life, not haA'ing the least power of vision, till Thursday, the 28th day of October, 1852. She then submitted to an operation for the removal of her cataracts, which AAras successfully performed by Dr. F. A. CadAvell, of Toronto, then at Brantford, in pres- ence of the undersigned and several of her family, Avhen she instantly received sight in both eyes. With very little suffering from the commencement, she has continued to improve in the strength and poAver of her vision, until she can noAv see objects, both large and small, quite distinctly, and is constantly improving. Being noAv able to return home to her friends with health and sight, she feels confident that she will soon be able to take an active part in the enjoyment of the hcav and beautiful scenes that continually dance before her newT-born Adsion. I, the subscriber, being uncle and guardian of the aforesaid Sarah HaAvley, certify to the correctness of the foregoing statement. (Signed,) DAVID SAGE. The above-named David Sage maketh oath and saith that the above statement is perfectly true and correct. Sworn before me, at Brantford, in the County of Brant, this 10th day of November, 1852. (Signed,) A. K. SMITH, J. P. I, the subscriber, having the office of Assistant to Doctor CadAvell, in operating on the eyes of Miss CASES AND OPERATIONS. 201 llawley, can testfy to the foregoing statement, and to the skill and success with which it was performed. The operation was performed in less than one minute on each eye, and the sight was instantaneously restored, far exceeding my most sanguine expectations. (Signed,) JIRA SKINNER. M. D. Sworn before A. K. Smith, J. P. Brantford, Nov. 10th. 1852. CASE 3. Child Five Years of Age, Blind from Birth.—Received his Sight by an operation performed by Dr. Cadwell. This is to certify, that my son, Samuel J. Taylor, has been blind from his birth, having been born with cataracts in both eyes. He was operated on by Dr. CadAvell, at St. Catherines, on the 17th day of ApriL 1852. I have merely to say that the operation was performed in a minute, in the presence of several med- ical gentlemen and others, and the child seemed not to suffer in the least from the operation, or at at any time since. I am glad further to sate that the result has been entirely satisfactory. His sight was in some degree immediately given him, and has since continued to improve, and we have every confidence that in a few weeks it will be perfect. He can now see the most minute objects, but does not appear to appreciate dis- tances, owing, as Ave believe, to a want of practice. 202 CASES AND OPERATIONS. He is as cheerful and lively as ever, and has never for a minute complained since the operation Avas made. (Signed,) WM. TAYLOR. Witnesses: J. PHILIPS LEE, J. RICHARDSON, Editors St. Catharines Constitutional. St. Catharines, May 1st, 1852. CASE 4. Congenital Cataract and Total Blindness in an Infant Thirteen Months old. This was the daughter of William Hill, of Hay Township, C W. The operation Avas made on the 25th of January, 1856, and good vision was the result within ten days from the day of operation. No inflam- mation or suffering followed, and the little creature Avas soon able to follow objects about the room, as they would move before it, and appeared to take great de- light in exercising its neAv-born faculty. There is but little doubt of the success of these cases when they are treated in good time, and the operation has been skillfully performed ; and though it may be- come necessary, under some circumstances, to repeat the operation, it is not attended AA'ith danger, and the result is generally of the most gratifying nature. The pain which attends this operation is so trifling as scarcely to be remembered. CASES AND OPERATIONS. 203 CASE 5. This case is interesting, as showing the oonnection of disease between the membrane of the Throat and the Chamber of the Ear. Miss Priscilla Griffin, aged eighteen years, daughter of Richard Griffin, Esq., J. P., Smithville, C. W., con- sulted me in the month of December, 1856, for a very severe form of deafness, caused by cold, accompanied by a most profuse discharge of foetid purulent matter from both ears, Avhich she had had for upwards of twelve years. This young lady had also a cough, of some years1 standing, and of a most violent character, Avhich baffled the ingenuity of the most skillful of the medical pro- fession, many of Avhom had at various times been con- sulted, but all had failed in giving any permanent relief. The hearing was very dull Avhen she first applied to me, and the voice required to be elevated considerably to enable her to understand. No ordinary conversation could be heard by her, and her eyes, which were dark and full of expression, seemed to per- form the office required by comprehending rather than by hearing. At the first examination of this young lady's case, I remarked to her friends that there was a close con- nection betAveen the chamber of the ear and the membrane of the throat, for the ear could not be touched without throwing the young lady into a violent paroxysm of coughing Avhich would continue for an hour. With this view of the case I proceeded to treat mv patient, and at the end of two months I had the satisfaction of finding that the cough had been com- 204 CASES AND OPERATIONS. pletely subdued, and the discharge from both ears nearly or quite arrested. Her hearing was good, even better than many who considered their hearing perfect She Avas able to visit me daily, and left me at the end of nine Aveeks from the commencement, and returned to her family a happier and healthier woman than Avas ever believed she could be—nearly free from cough, with sound lungs, healthy ears, and good hearing, a model specimen of robust health; cheeks full and rosy, eyes bright and clear, Avith a voice strong and full, giving additional proof that a most wonderful change had been Avrought, to the amazement of all Avho knew her. We, the undersigned, referred to in the aboA^e case, hereby certify, that the statement therein made is per- fectly true and correct. (Signed,) PRISCILLA GRIFFIN, RICHARD C. GRIFFIN. Witnesses : F. G. Stanley, Chas. E. Wall. CASE 6. Chronic Inflammation. Master Samuel Bidder, aged nine years, son of S. P. Bidder, Esq., Engineer of Grand Trunk Railway, Mon- treal, Avas placed under my care in the summer of 1854, for a chronic disease of the eyes, Avhich attacked him some two years previously, while residing in London, England. His father had consulted the most eminent medical gentlemen in the Old County, who gave it as their opinion that it was a constitutional disease, which CASES AND OPERATIONS. £05 would not leave him until he arrived at manhood. He was, however, induced to think otherwise, and after arriving in Canada with his son, he Avas recommended to apply to me, by parties who had been similarly afflicted, and aa ho had received successful treatment at my hands. The lad A\Tas left Avith me for the period of thirty days, at Toronto, when it Avas thought unneces- sary for him to remain longer, his disease having en- tirely passed aAvay, and his general health, which was preATiously very delicate, being fully established. He has continued to enjoy the full advantage gained, now five years past, both as regards his sight and general health. CASE 7. Ulcers on the Eye. Miss Amanda Bocline, of Fingal, aged sixteen, was placed under my care by Dr. TraAers, of the same place, for a severe attack of Corneal Inflammation of , both Eyes, which, at the time I saw her, threatened the destruction of the eyes. The cornea had sloughed, and the delicate membrane Avas highly inflamed, having a portion of the blue curtain of the eye, or iris, entangled in the opening. However, by timely treatment, I succeeded in sub- duing the inflammation and healing the breach, and at the end of five Aveeks she returned home with her eyes entirely well, and the sight completely restored. This young lady was treated by Dr. Travers for two years, but Avithout being able to reach the case. In this case the disease was purely local, her general health being perfectly good. 206 CASES AND OPERATIONS. CASE 8. Deafness of Ten Years' standing. Duncan Sinclair, aged twelve years, son of the ReAT. Dougald Sinclair, residing in London District, has been very deaf for ten years, arising, as his parents believe, from measles. At the time I received him under my care, he could scarcely hear ray Avatch at his ears, but at toe end of three weeks he was dismissed cured, being then able to hear the same watch twelve feet distant, and all noise and other unpleasant symptoms had entirely ceased. London, December 15th, 1853. CASE 9. Deafness of Twenty-Five Years' standing. Charles H-----, aged about forty years, has been deaf for the last twenty-five years, occasioned by cold. Has a constant noise in both ears, and could not hear common conversation, unless very near him. His health was in other respects good. By the regular use of the Press, or Air Douche, for six weeks, the hearing was raised from one inch to twenty inches on the right, and from six inches to ten feet on the left, and the hearing continues to improve. CASE 10. Deafness from blowing Bugle. James C----, of the Royal Artillery, aged twenty years, deaf three years from forcibly blowing a corno- peon, thereby bursting the drum of the right ear. CASES AND OPERATIONS. 207 Hearing entirely gone at the time of commencing treat- ment, and a profuse discharge is constantly going on. After five Aveeks' attendance, the patient found the discharge was entirely arrested, and he could hear a watch, beat at the distance of several inches from the ear, and all noise had entirely subsided. His general health was improved by the treatment, and in the Spring of 1852 he resumed his place as musician in the band to Avhich he belonged when the accident occurred. CASE 11. Cross Eye. Edward Fudge, of the Royal Artillery, applied _ to me for treatment for weak sight, which upon examina- tion proved to be the effect of a Cross Eye, which had only recently been observed. An operation was made and the eye immediately made straight, and with it nearly all traces of defective vision vanished. In ten days all traces of the operation had disappeared. CASE 12. Artificial Eye. Thomas C----, a lawyer, had the misfortune to lose an Eye by an accident when a child, and the ball was considerably wasted and fallen in. I was applied to fur advice, and inserted an Artificial Eye, which he now wears without the least pain or inconvenience, and but few of his friends are able to tell the natural from the artificial Eye. It performs all the natural motions 208 CASES AND OPERATIONS. of the sound Eye, and its resemblance to it is perfect; in fact it is scarcely possible to perceive any difference betAveen the two Eyes at a few feet distance. CASE 13. Deafness from Sea Bathing. William Robson, aged fourteen, has been deaf for two years from sea-bathing. Hearing very dull, and lx)th Ears discharging matter of a very foetid odor. Health otherwise good, but looks rather delicate, Avhich is peculiar to those Avho have a constant discharge from the Eai's. Nov. 28.—-He is dismissed cured. Hearing raised from a feAV inches to seven feet, and the discharge is entirely suspended, Avith a marked improvement in his countenance generally. CASE 14. Deafness with Discharge. Amos Kemp, aged sixteen years, an apprentice to the book-binding business. Has deafness and discharge from his left ear for several years, produced by cold ; hears the watch only three inches with this ear, and finds he is getting worse every year. Continued his attendance for about three weeks from date of entry, when he found his hearing raised to five feet, and the discharge had stopped. Was dismissed from regular attendance, and advised to call once a week, that the case might be Avatched. May, 1852.—Hearing continues perfect, and no fur- ther appearance of discharge. CASES AND OPERATIONS. 209 CASE 15.* Blindness from Measles. Miss Margaret Green, aged fifteen, had inflamma- tion of one eye since she was about four years old, from Measles, and could never get it cured. It was cov- ered with a white film, and the sight is of little or no use to her. Her health being good in other respects, she was put under a regular course of attendance, and Avas dismissed entirely cured on the first of December, being only three Aveeks under treatment. CASE 16. Cross-Eye occasioned by a fall. Charles McMillen, aged thirty-five, had a Cross-Eye since a child, caused by a fall. Sight was very imper- fect in this eye. An operation was made, and the eye was straight- ened immediately. In a few days the slight Avound made by the operation healed, and since that time there has been a gradual improvement in the sight of this eye, and it is noAv nearly equal in strength to the other. No interruption to business was caused by this op- eration, except on the day of the operation, and no pain or uneasiness followed it. * The persons referred to in Cases 15 to 30, inclusive, were residents of Kingston, Canada AVest. 14 210 CASES AND OPERATIONS. CASE 17. Blindness from Inflammation. Mrs. Maria Curtis, aged twenty-five years. Had suffered for four years Avith a chronic inflammation of her eyes, supposed to have come from cold. She Avas nearly blind at the time of commencing treatment with me, being able merely to see dark images before her. Had been treated for several months together, by med- ical men in Canada and the United States, but to no effect. She commenced treatment Avith me in NoArember, 1851, and Avas able in four weeks to see Avell; could readily recognize any one she knew, and Avas able to go about Avithout the least trouble or inconvenience. As she resided some distance from me, she was then allowed to return to her home, provided with suitable instructions. She recovered perfect eye-sight in a few weeks, and was greatly improved in her general health, which had previously been Arery delicate. CASE 18. Deafness from Scarlet Fever. Robert Miller, aged tAventy-tAvo years. Deaf since a child, being the result of scarlet fever. Both ears discharged profusely, and his hearing was extremely dull. Dec. 7th.—Returned home Avith tolerable good hear- ing, the discharge having been entirely arrested, and all other disagreeable symptoms completely removed. CASES AND OPERATIONS. 211 In this case there Avas an opening formed in each drum. caused by the long continuance of his disease, and this circumstance prevented the possibility of giving perfect hearing. But the treatment had been so effect- ual in every other respect, that he discontinued his attendance, quite satisfied that he could hear Avell. CASE 19. Deafness from a fall. Wm. Lane, aged twenty-five years. Had deafness and noise in his left ear, caused by a fall four years previously. By the use of the Air Douche, and other suitable treatment, his hearing was perfectly restored in three weeks, he being then able to hear my watch across the room, and the noise had entirely subsided. CASE 20. Double Cross-Eye from Sickness. Miss Mary Watson, aged sixteen years, had a double convergent Strabismus, or squint, since she Avas about three years old, caused by sickness. Her sight Avas very Aveak and imperfect, and she had double vision. Both eyes Avere operated on, at intervals of four Aveeks, and tAvo perfectly straight eyes was the result. No pain or inflammation was experienced from the opera- tion, and the sight was made good, and the double vision disappeared on the eyes becoming straight, 212 CASES AND OPERATIONS. CASE 21. Blindness from Inflammation. Henry Daniels, a child aged three years, blind in one eye, from inflammation, and the other suffering much from sympathy. Child very dehcate otherwise. Treatment in this case Avas directed particularly to the constitution, and some attention Avas at the same time paid to the eyes. In a fortnight there was a marked improvement in the health and strength of the child, and a proportionate improvement in the condition of the eye. Tavo Aveeks' further treatment had the effect to re-establish both health and eye-sight in the child, and it continued to thrive and do Avell six months after it left my attendance. CASE 22. Deafness from Croup. James Long, aged nine years. Had deafness and discharge from both ears, caused by an attack of Croup. In this case, treatment completely arrested the dis- charge, and made the hearing good in three Aveeks, and no further trouble has been felt since. CASE 23. Loss of Sight from bad treatment. Miss Frances Gould, aged forty-tAvo years. Is en- tirely blind, requiring a conductor, from a severe attack of inflammation, which has been badly treated by her physician. CASES AND OPERATIONS. 213 By careful attendance, she has recovered her sight. so as to be able to go about, and can recognize her acquaintances, but OAving to improper treatment and neglect, she Avill never recover perfect sight; though. under proper direction, no defect of vision Avould have been perceptible. CASE 24. Deaf and Dumb from Scarlet Eever.—Hearing restored. Miss Rebecca McAdoo, aged tAventy-tAvo years, had Scarlet Fever Avhen four years of age, and at that time entirely lost her hearing. Recovering from the fever sloAvly, she partially recovered her hearing, but never enough to hear any sound of the human voice, and acquired a facility of understanding Avhat Avas said entirely by the motion of the lips. At the time I first saAV her, Avhich Avas on the 18th day of November. 1851, she could scarcely be said to hear at all, and her speech Avas so imperfect that but feAV could under- stand AAThat she said. This case was too unfavorable to afford much hope to her family, though I Avas induced to do so from some circumstances connected Avith the history of her case. Treatment Avas accordingly commenced, and in less than three Aveeks she recovered sufficient hearing to be able to hear wTell. She Avould no longer Avatch the countenance, but would always apply her ears, and give attention. She can now hear quite Avell, and her speech has also improved Avith her hearing. She con- tinues to use her treatment, and to pay me an occasional visit. Her ears, Avhich were discharging profusely at the beginning of my attendance, are iioav quite dry. 214 CASES AND OPERATIONS. and I have no doubt but that in a few months she Avill be restored to good hearing, Avithout the necessity of raising the voice to make her understand. This case, bad as it Avas, proves clearly the advanta- ges of treatment in those cases of deafness Avhich so frequently result from scarlet fever, measles, and all those diseases incident to children. I may here men- tion an opinion in reference to the management of such cases, that in no instance could a case of this description be treated, and proper attention given on the part of the patient, Avithout deriving the greatest advantage therefrom. CASE 25. Deafness caused by a Pea in the Ear. Robert Carter, aged seven years. Has been deaf for almost one year, Avith discharge from both ears, caused by sickness. Can hear my Avatch only six inches on either side. Upon careful examination, each ear Avas found to contain a pea, Avhich had been put there by the child many months previously, (hving to the manly conduct of the httle felloAv, I extracted the tAvo peas, Avhich Avere greatly sAvollen, but not Avithout some difficulty, as from the shape of the ear they had become firmly Avedged in the auditory passage. The drum remained entire, though thickened and inflamed; but upon the removal of the foreign bodies, the hearing Avas soon restored as good as ever, and the discharge ceased in a feAV days. CASES AND OPERATIONS. 215 CASE 26. Blindness from Inflammation. Mrs. Margaret Nicliols, aged sixty-four. Has suf- fered for tAventy-four years Avith a chronic inflammation of her right eye, which has never ceased to be trouble- some since its commencement, and no treatment has ever been found of the least service to her. Sight use- less, and the eye very Aveak, and not able to bear the light of day. General health good for one of her age, but the system a Httle out of order. Daily treatment Avas followed by me for four Aveeks, when it Avas thought unnecessary to continue attendance any longer. The inflammation had entirely vanished, her sight Avas quite clear, and with the exception of a slight contraction in the sight of this eye, caused by the long continuance of the disease, no perceptible dif- ference could be observed. CASE 27. Deafness from Polypus in the Ear. John F. Ward, aged thirty-tAvo years. Had a Poly- pus in his left ear for tAventy-seven years. His ear discharges constantly a very offensive matter, and his hearing in this ear is entirely useless. I removed the Polypus by an ingenious little instru- ment of my OAvn invention, and Avithout giving the least pain to the patient. The effect was to immedi- ately restore the hearing, Avhich enabled him to hear a watch tAvo feet off. A feAV occasional visits put him in 21G CASES AND OPERATIONS. possession of good hearing, and no inconvenience is iioav experienced. The Polypus was as large as a grape, and completely filled the passage of the ear, giving rise to discharge, etc. CASE 23. Tear Passage closed. Mrs. Jessie Patrick, aged twenty-seven. Had the tear passage closed, causing the tears to run o\rer the face, and thereby giving her much trouble, and Aveak- ening her sight. In a feAV days I succeeded in opening the passages free to the nose, Avithout making an opera- tion, and the tears now pass freely down their proper channel. No further inconvenience has since been experienced. CASE 29. Deafness from a Pea in the Ear. Miss Patrick, aged four years, put a pea in her ear some eight months ago, which could not be got out. It ultimately caused deafness and a discharge, and fre- quently a severe head-ache supervened. The child being much frightened, I had great diffi- culty in removing it, owing to her willful resistance. It Avas, hoAvever, extracted, split in halves, and of course the hearing AAras imperfectly restored. Subsequent treatment put all right, and she is noAv quite well. CASES AND OPERATIONS. 217 CASE 30. Artificial Eye inserted. Miss Sementha B-----, aged tAventy years. Lost her left eye from a severe attack of inflammation. She now Avears an Artificial Eye, which I inserted for her, and the deception is so good that none but her family know but that she had the original eye restored^ and although it has been whispered among her young friends that she wears an Artificial Eye, still many do not credit it. CASE 31. Blindness caused by Inflammation, and the injudicious use of Mercury. Hugh Brodie, of Chatham, an intelligent lad fifteen years of age, son of Philip P. Brodie, of the same place, came to me one year since, Avith a severe disease of his eyes, which rendered him entirely blind. His case was promptly treated by Dr. Severite, and others, of Chatham, but Avithout any satisfactory results, for in a short time he Avas entirely Avithout sight, and was also crippled by the injudicious use of mercury admin- istered as a means of cure for his diseased eyes. He also states that one of the medical men in^ attendance endeavored to discourage him from placing himself under my care, as he could himself cure him. His father, however, Avas induced to think otherwise, and accordingly placed him under my care. The result is. that he can now see well, though not perfectly, and 218 CASES AND OPERATIONS. has resumed his studies at school; sight is constantly improAdng, and his general health fully established—a result which no person Avould haA^e predicted, from the almost hopeless condition he Avas in Avhen first placed under my care. Toronto, April, 1857. The above statement I have just read, and can fully corroborate Avhat is therein stated. (Signed,) HUGH BRODIE. CASE 32. Deafness from Scarlet Fever. Miss Harriet Dillon, aged ten years. Had deafness and discharge, of five years' standing, caused by scar- let fever. Hearing very bad, and the discharge pro- fuse and very offensive. Three Aveeks' treatment completely removed all the discharge, and the hearing Avas raised from the touch to about four feet. Treatment Avas still further contin- ued, Avith marked improvement, and with every pros- pect of having perfect hearing at last. CASE 33. Cross-Eye from Convulsions. Miss Mary Rogers, aged eighteen years, had a Squint or Cross-Eye since a child, caused by con\Tulsions. Sight very Aveak and imperfect. Operation Avas made, and the eye straightened in less than one minute. Pa- tient Avas very nervous; but did not complain of the CASES AND OPERATIONS. 219 operation. In ten clays after I saAV her; the eye was perfectly straight, and no one could tell that such a defect had ever existed. CASE 34. Artificial Eye. Conrad Jones, Belleville, N. Y., wears an Artificial Eye, which Avas inserted by me. It gives him no pain or uneasiness whatsoever, and the lost and Avasted organ is beautifully supplied Avith a substitute Avhich ansAvers every purpose of the original except sight. The advantages of the Artificial Eye are many. In the first place, they protect the old socket by excluding the cold air; they support the lids, and thereby prevent the eye from Avasting and closing, and protect the eye from the introduction of foreign particles; and finally, they so completely resemble the natural eye, both in movement and appearance, that no one Avould discover the imitation. CASE 35. Deafness of Eleven Years' standing cured. Mrs. Eliza Bullock, of Trafalgar, C. W., aged thirty tAvo years, has been A^ery deaf for eleven years, caused by cold, and had lately groAvn much Avorse. Her health being good in other respects, she Avas placed under my treatment, and by the use of the Air Douche, and other means, she Avas cured in eleven days. It is noAv several years since she Avas treated and cured. She feels no further trouble, and the noise Avhich Avas nearly always present in this case, has entirely sub- sided. 220 CASES AND OPERATIONS. CASE 3G. Disease of the Eye-Lids. John Carter, of Toronto ToAAmship, aged seventeen years, had an affliction of the eye-lids for many years, Avhich came from Avhooping cough. The edges of the lids Avere thickened and inflamed, and on Avaking in the morning, were firmly glued together by the dis- charge. This case Avas cured completely by two weeks' attendance, and though the eye-lashes Avere thinned, and nearly gone, they have again groAvn quite thick and healthy. CASE 3 7. Deafness from Cold. Miss Bates, of St. Catharines, aged tAvelve years, had deafness, and discharge from one ear, from cold, since she Avas an infant. Her hearing Avas very dull, and the discharge abundant and offensive. Three Aveeks' treatment restored good hearing, and entirely arrested the discharge. CASE 38. Deafness from Cold. Eli Oil, of St. Catharines, aged sixteen, had a dis- charge from his left ear, and deafness in both, since he Avas six years of age, and is getting Avorse; is Arery sub- ject to take cold on slight changes of the Aveather, and ahvays gets worse at such times. Treatment in this CASES AND OPERATIONS. 221 case restored good hearing in both ears, and arrested the discharge, after three Aveeks' attendance. No further trouble has been experienced since. CASE 39.* Tumor in the Eye. Alexander S. Robertson, aged ten years, had an encisted tumor in the left eye, of eight years' standing, the size of a hickory nut. It Avas painful at times, and groAving rapidly. I removed it by an operation, assisted by Dr Hope, and the wound healed in a feAV days, in the most healthy manner. CASE 4 0. Disease of the Eye-Lids. Miss C. LoAvrey, aged eighteen years. Had a very- severe form of disease of the eye-lids, since a child. Lids were highly inflamed, and very much thickened, and the lashes nearly all gone. After three Aveeks' daily attendance, Miss L. Avas dismissed cured, with instructions to continue a little mild treatment for a fortnight longer. CASE 41. Double Cross-Eye. Miss Adeline Howard, aged tAventy, had a double convergent squint, of many years' standing, which was * The persons mentioned in Cases 39 to 44, inclusive, are residents of Belleville, New York. 222 CASES AND OPERATIONS. operated upon Avith perfect success on the 26th of June. Eyes are iioav both straight and much improved; and no pain or inflammation folloAved. CASE 42. Single Cross-Eye. Miss Sarah McCord, aged fourteen, had a convergent squint of one eye since a child, and the sight Avas nearly useless. Operation Avas made on the 5tli of June, and in ten days the eye Avas perfectly healed, and the sight greatly improved and improA'ing. CASE 43. Single Cross-Eye. Miss Mary A. Wilkins, aged. 16 years; had a conver" gent strabismus or squint, and Avith little or no sight in the right Eye since a child, caused by teething- I made an operation and put the eye straight in one minute. Sight is now good, and the eye looks as Avell as ever. Eye was weak before this operation, but it is now strong, and the sight is perfect. CASE 44. Blind from Cataract—Lens extracted. Thomas Long, aged 26 ; was completely blind from Lenticular Cataract. One eye Avas lost by a previous operation. Operation for the extraction of the lens was performed by me on the 27th of June, with entire success, and Avith complete restoration of the sight, CASES AND OPERATIONS. 223 CASE 45. Deafness from Scarlet Fever. Miss F. P. Gould, of Brantford, aged 10 years; had deafness and discharge from her Ears of a very offensive nature for the last six years, resulting from scarlet fever. After three Aveeks' daily attendance, her hearing Avas considered nearly as good as ever, and the discharge had entirely ceased, with a decided improvement of her general health. CASE 4 6. Disease of the Eye-Lids. Miss N. Farrell, of Paris, aged 16 years; had a dis- ease of her Eye-lids from childhood; sight was not much impaired, but the lids were thickened and red, particularly on waking in the morning, at which time a quantity of dry matter was found adhering the lids together, and the lashes had fallen and become quite thin. Much had been done by the parents of this young lady to ha\Te her disease removed, but all to no purpose until chance threw her in my way, and though she had some distance to drive each day, during a cold and rainy season, still her disease was completely eradi- cated in three weeks ; and though a year has elapsed, she has had no return of her old companion. CASE 47. Deafness, with Noise in the Ears, of Ten Years' standing. John Fisher, of Vittoria, aged 18 years, had deafness, with more or less singing, in the Ears, for the last ten 224 CASES AND OPERATIONS. years. He was not able to hear a watch beat except close to his ears, and was getting Avorse from year to year. He was treated for six Aveeks, receiving daily sittings, and was at the end of that time dismissed from further attendance, being able to hear common con- versation readily; and all noise and confusion of the head had entirely subsided. His father, Daniel Fisher, aged 56 years, Avas deaf twenty years in one ear, and was completely cured in one hour, Avithout causing the least pain. CASE 4 8. Deafness, with Noise in the Ears, of Twelve Years' stand- ing, cured. Henry Williams, cousin of the above named John Fisher, was also deaf for twelve years. He was similarly afflicted, and had also great noise, which with his deaf- ness, had never left him during that period. He was also cured of his deafness, and the noise was removed by six weeks' attendance with me, and without submit- ting to any painful or disagreeable treatment. CASE 49. Double Cross-Eyes—Physician's Daughter. Dr. Bowie, of Brantford, has a daughter aged 9 years Avho had a double convergent squint, or double Cross- Eye. Operation was made on the young Miss, Avho conducted herself most heroically through both opera- tions, which Avere performed by me at an interval of one week betAveen each operation. The result of this young lady's courage was a pair of perfectly straight CASES AND OPERATIONS. 225 Eyes, which were very badly turned ; and her sight is greatly improved also. Though she was only nine years of age at the time the operation was made, it was done with her full consent, and Avithout her offering the least resistance. She Avell deserves the reward she has received. CASE 50. Tear Passage Closed. J. Andrews, aged forty-tAvo years, had both tear passages closed, and the tears constantly passed over his face, particularly in cold and windy weather. He had an operation made, and a gold stylet introduced, Avhich gave him immediate relief. This he Avore for a feAV Aveeks; it AAras then remoA^ed, and the passage con- tinued pervious and free. Thus, by a trifling opera- tion, he Avas relieved of a disease that had troubled him for many years. CASE 51. Blind Four Years.—Sight restored. David Thompson, of St. Thomas, aged fifty-five years, Avas brought to me nearly blind by a chronic disease of his eyes, of four years' standing. He could see but little, and his eyes had been treated by some professed oculist, Avho subsequently proved to be an impostor. His disease was one which is frequently met Avith in this Province, and usually arises from cold and exposure. The sight becomes dim and misty after the first stage of inflammation passes over, and this dimness continues till the patient becomes quite blind; 15 226 CASES AND OPERATIONS. lids look thickened and red, and then the Avhole ball becomes red, and the sight nearly or quite obscured. This gentleman AAras completely cured during five weeks' attendance, so as to be able to manage his OAvn busi- ness, and to read and write. A slight relapse of inflam- mation took place in one eye, Avhich-required his attend- ance again, but in a feAV days it was subdued, and has continued good ever since. CASE 52. Deafness of Twelve Years' standing cured in a few hours. J. P. McD----, of Vienna, Merchant, Avas deaf, with noise in his ears, for twelve years. He applied to me in the Avinter of 1852, and AA^as completely cured of all his deafness in one hour; and by a feAV days' subsequent attendance, he was entirely relieved of all noise, and returned home Avith perfect hearing. CASE 53. Deafness from Pebble in the Ear. A small pebble stone Avas remoAred from the ear of a little boy, aged six years, son of Gabriel Balfour, of Kingston, Avhich had been there for six months. Hear- ing Avas restored, and the child perfectly recovered. CASE 54. Blindness from Pustular Inflammation. Miss Anne Perry, of Darlington, C. W., aged fifteen years, Avas for tAvo years a great sufferer AATith a pecu- liar form of inflammation of her eye, called jntsttdar CASES AND OPERATIONS. 227 inflammation. It consists in patches of little Avhite pustules or festers, which form on the eye, generally locating on or near the sight, and continuing for some days to groAv Avorse—the eyes being very irritable, and not able to bear the light. In this state the eyes con- tinue to get better and worse, until one or both are quite destroyed. Such was her case, and although one of her eyes Avas quite blind, she returned home with the sight of both quite restored, and her general health much improved, having been about five Aveeks under treatment. CASE 55. Tear Passage closed.—No operation. Mrs. Catherine F-----, of Toronto, had an obstruction of the tear passage, of three years' standing, which caused the tears to flow over the cheek Avhenever she Avas exposed to the cold or wind, or in using the eyes to read or sew, or do any other Avork requiring the par- ticular use of the organ. By a feAV days' attention, I succeeded in removing the obstruction, and rendering the passage free to the eye, Avithout submitting the patient to an operation, so that she can noAv use her eyes for all purposes, as usual, Avithout experiencing the least inconvenience. When this condition of the eye is observed, it should be attended to before the disease becomes permanent, in which case an operation will be required, and a gold stylet introduced, which has to be Avorn for some Aveeks before a permanent cure will be- effected. Under any circumstances, this disease can be perfectly and permanently cured. 223 CASES AND OPERATIONS. CASE 56. Tear Passages both Closed. Philip Dunn, aged twenty-five, had both tear passages closed for about five years, and his eyes Avere in a dreadful condition in consequence. They had gathered and broken a number of times, and he AATas nearly blind Avhen he consulted me about five years since. I operated on both eyes at the same sitting, and introduced gold st}rlets, Avhich Avere Avorn by him Avith- out the least inconvenience, and Avith immediate relief. At the end of three months they Avere both removed, his sight being perfect, and the tears taking their proper course. CASE 57. Blindness from Inflammation. David C. Wattles, residing in Michigan, toAvn of Lapeer, Avas atacked with acute inflammation of both eyes, which had nearly destroyed his sight. Not being able to obtain relief where he resided, and finding his eyes were getting Avorse by every application that he made use of, he came to Toronto, in January, 1853, and remained under my care for tAventy-tAvo days, at the end of which time, his sight Avas perfectly good, and his eyes Avere strong enough to enable him to attend to his general out-door business. He returned to Michigan entirely restored, and has had no return of his disease since. CASES AND OPERATIONS. ooq CASE 58. I Blind from Acute Inflammation. Miss Sarah Roddy, of Niagara, aged thirteen, was brought to me three years since Avith a severe form of acute inflammation of both eyes, of some months' standing, and was unable to go Avithout a guide. She had been treated by a number of medical gentlemen before she applied to me, but to no purpose, and her case Avas getting worse from week to week. Her attend- ance was continued with me for about three months before the disease was broken, but she then rapidly recovered her sight and health, and returned to her family greatly changed in appearance. The young lady has continued to enjoy good sight since the period above stated, until within a few weeks, when she found one of her eyes the subject of a fresh attack of inflammation; she placed herself under my care Avithout delay; and in about twenty days returned to her family entirely restored, able to read, write or scav, as well as ever. She is noAv in her eighteenth year. CASE 59. Blindnes removed by Ten Days' treatment. Mrs. Mary LeAvis, of Sparta, came to me with a < chronic inflammation of her eyes, and was quite blind in consequence, having been in that state for several months. I treated this lady for about ten days, when I was obliged to leave London; but she was so much 230 CASES AND OPERATIONS. improved by it, that, with the treatment and directions she received from me, she completely recovered her sight in about a month after I left her. CASE 60. f Cross-Eye in a Child only Three Years old. Sheriff Hamilton, of London, C. W., brought a grand- daughter of his to me for treatment. She was a beau- tiful little black-eyed creature, only three years of age; but Avas afflicted Avith a very bad squint or cross-eye, \ caused by convulsions. I operated on this tender little pet Avithout much ceremony, and Avas entirely successful in removing all appearance of defect, in less than one minute. There Avas but httle pain produced in making this operation; Avhich may be performed at any time Avithout the least risk to the eye. CASE 61. Blindness from Inflammation and Bad Treatment. Robert Foster, of St. Catherines, consulted me in May last, for a disease of his eyes, being then entirely blind, and othenvise so much impaired in health as not to be able ,to leave his room. He Avas treated by me for one month, and at the conclusion of my attendance could see to read and attend to his business. His health Avas quite restored, as he continued to visit my office regularly for a fortnight before I left. CASES AND OPERATIONS. 231 CASE 62. Deaf One Year.—Cured in One Sitting. Miss Sarah Ann Leeper, aged sixteen years, had a slight attack of deafness, arising from cold. She was deaf one year, and had noise and other unpleasant senstions in the ears. This young lady was very ner- vous ; but by persuasion she consented to take a sitting, under the promise that she should not be hurt, and her hearing would be restored. This she did; and her hearing was perfectly restored before she left the chair, and without giving her the least pain. CASE 63. Artificial Eye inserted. Sampson Smilie, of Port Dalhousie, lost his left eye some years ago, by an accident; and is noAv wearing an Artificial Eye which I inserted for him, and Avhich com- pletely defies detection. It Avas inserted Avithout pain, is worn Avithout pain, and is so complete a match to his sound eye, both as to apperance and motion, as not to be perceived. CASE 64. Disease of the Eyes, of Twenty Years' standing, cured. John Bowerman, of St. Catherines, aged seventy years, consulted me for a disease of his eyes, of tAventy years' standing, Avhich he had tried in vain to get cured since it first commenced. He continued his attendance 232 CASES AND OPERATIONS. Avith me for about one month, Avhen he felt that it Avould be unnecessary for him to remain longer. His eyes Avere free from inflammation, and he Avas able to attend to his business Avithout the least inconvenience—a fact he had not realized since his disease first made its appearance. CASE 65. Profuse Discharge from the Ears, caused by Scarlet Fever. Miss Ann McKillman, aged sixteen years, had a very profuse discharge from both ears, of a A'ery offensive nature, arising from scarlet fever, Avhich she had had for eleven years. She Avas treated and cured in one month, Avhile I Avas at St. Catherines, and her hearing Avas greatly improved; but OAving to the severity of the case, and the destruction of important parts of the ear Avithin, it Avas impossible to render the hearing perfect. She could hear common conversation, hoAvever, Avithout much inconvenience. CASE 66. Blindness from Inflammation. Miss Mary Ann Creighton, of BrockA'ille, aged sev- enteen, AATas brought to me entirely blind with innam- motion of her eyes, in July last, and had been in that condition for several months. She Avas sent to Mon- treal, Avhere she remained for some months, Avithout receiving the least benefit. I treated this young lady CASES AND OPERATIONS. 233 for six Aveeks, seeing her daily during that period. At the conclusion of my treatment her sight Avas so far restored that she could see comfortably, Avas able to come and go Avithout a guide, and could recognize her acquaintances. As she Avas then doing Avell, and all inflammation had left her eyes, I presume she has con- tinued to gain till her sight has become entirely restored. CASE 67. Cross-Eye cured. Mrs. Win. Mickle, of Easterns Corners, aged twenty- five years, had a Arery disagreeable cast in her right eye, of some tAventy years' standing, caused by con- vulsions Avhen a child. Sight was not good in this eye. An operation was performed, and the eye put perfectly straight, in less than one minute. She now enjoys perfect sight in both eyes, and has as straight a pair of eyes as was ever seen. CASE 68. Blindness from turning in of Eye-Lashes. Mrs. Jane Holden, aged forty-tAvo, had a very severe affliction of her eyes caused by the turning in of the eye-lashes. This state of things had continued so long that the sight was nearly destroyed by the friction of the eye-lashes against the ball, and Avhich kept up a constant and severe inflammation. I made an operation on this lady's eyes, and in ten days she Avas perfectly well, with her eyes quite strong, and the sight greatly improved, and rapidly recovering. She left for home, entirely satisfied with her improvement. 234 CASES AND OPERATIONS. CASE 69. Double Cross-Eye cured. Master C. Vanarnam, aged thirteen years, residing at Brockville, had had a double Squint or Cross-Eye from birtl'i, Avhich gaA^e him a most disagreeable expression. He Avas quite Avilling to have his eye straightened, as he Avas assured it Avould cause him but little pain, and be only of a moment's duration. Both eyes Avere operated on, at intervals of one Aveek, and the result Avas, that he lost all appearance of squint immediately; his sight rapidly improved, and his eyes acquired a perfectly natural appearance. He submitted to the second operation more willingly than the first, finding that it really Avas not so severe as he had appre- hended. This operation can generally be performed complete in from half to three quarters of a minute. CASE 7 0. Brother and Sister Blind from Inflammation—Both cured. Miss Henrietta and Master Henry Brundage, aged fourteen and eleven years, respectively, children of William Brundage, residing near Merrickville, Avere sufferers for more than three years, Avith a strumous inflammation of their eyes. The lad had lost one eye and the other AATas fast going. The young lady's eyes Avere also very bad, and became progressively Avorse. They Avere placed under my care in the month of August last, and Avere entirely cured in four Aveeks; the boy, of course, being blind in one eye, Avhich had burst before he came to me, and the young lady Avas entirely cured. CASES AND OPERATIONS. 235 CASE 71. Cross-Eye cured. Miss Manhard, of Brockville, aged nine years, sub- mitted to an operation in August last for the cure of a Squint or Cross-Eye, which Avas done, and her eye made perfectly straight in less than one minute. The child sat perfectly quiet during the operation, and did not indicate that she suffered in the least. CASE 72. Deafness from Cold. Shubal Kelly, of Escott, aged forty-nine years, suf- fered for six years Avith inflammation of his eyes, that rendered him entirely unfit for business. He Avas per- fectly cured of his disease, and his sight restored by four Aveeks' attendance Avith me. CASE 7 3. Cross-Eye cured. John Malloch, Esq., of Brockville, aged twenty-five, had his left eye injured, which cased him to squint. His eye Avas operated on by me in August last, and made as straight and perfect as the opposite eye. This was was a case of four years' standing. 236 CASES AND OPERATIONS. CASE 74. Blindness of Thirty Years' standing cured. Mrs. Win. Manhard, of Brockville, aged seventy years, had a low chronic disease of the eyes, of thirty years' standing, Avhich rendered her life quite miserable. She consulted me in the summer of 1853, and remained under my care for about four Aveeks. Finding her eyes quite strong, and sight as good as could be expected for one of her age, she returned to her family, looking at least tAventy years younger than she did a month preA'ious. CASE 7 5. Brother and Sister Blind.—Both cured. Stylvester Trickey, of Escott, had two small children, aged tAvo and five years, respectively, Avhich he brought to me blind, haA'ing fallen into that state soon after birth. I treated these children, and restored them to perfect sight, after four Aveeks' treatment, and there Avas also a proportionate improArement in their general health, Avhich in such young subjects is very apt to be impaired, and Avithout this attention a cure could not be effected. CASE 76. Deafness from Polypus in the Ear. M. Higgins, of Prescott, aged seventeen, was nearly destitute of hearing, caused by the growth of a Polypus hi his Ears. He has suffered for twelve years and could CASES AND OPERATIONS. 237 scarcely be made to hear at all. I made an operation and removed this excrescence from each ear, which greatly improved his hearing, and also arrested a very offensive discharge, which had never left him for twelve years. It was caused by a fall, Avhich also gave him a cross-eye. This defect was also removed at the same time, and the young gentleman Avas rendered very useful to a AvidoAved mother, by the improvement of his sight and hearing. CASE 7 7. Blind from Inflammation. John Mcintosh, of Pickering, aged twenty-eight, has suffered for about eighteen months with a disease of his eyes, which he has not been able to get cured. He consulted various persons Avho professed to treat such diseases, and finding his eyes failing, he went to New York in the summer of 1853, where he consulted an Ooulist of some eminence there. After a fair and patient trial in the great City of Gotham, where he considered he was almost certain of obtaining relief, he returned to Toronto, and placed himself under my care, on the 14th day of December last, and was dismissed, entirely cured, on the 20th of January inst, being but a day or two over five Aveeks under my care. CASE 7 8. Elindness from Closed Pupils.—Sight restored by an Operation. James McFadden, a farmer, residing near Brockville, age 1 forty years, consulted me for a very extraordinary stat3 of his eyes, which had been attacked with inflam- 238 CASES AND OPERATIONS. mation many years previously, and left him as I then saAV him, almost entirely blind, and Avith a large family to support. He had lived in that Avay for nine years. In this case the pupils of his eyes had closed by the severity of his previous inflammation, and left him blind. On the 8th of August, 1853, I made an operation, and formed an Artificial Pupil, Avith complete success. He immediately had his sight restored, and after a feAV days was able to return to his family, Avith sight nearly as good as ever, and has continued ever since to do well. In this operation, Avhich was extremely difficult and important, I Avas ably assisted by Dr. Thomas McQueen, and Dr. Garvey, of Brockville. CxVSE 79. Blindness from Cataract. S. P. Thomas, Esq., of Augusta, aged eighty-two years, consulted me in August last for a failing of his sight, Avhich on examination proved to be a Cataract. He was entirely blind in one eye, and the other Avas fast failing. Nothing could be done short of an opera- tion ; and though he had passed four-score years, he cheerfully submitted to the operation, with the prospect of again enjoying his sight. He was operated on, and the cataract successfully removed on the 18th day of August last, and in less than two weeks he Avas knoAvn fco^ walk from Brockville to Prescott, a distance of twelve miles, Avith as as much activity and buoyancy of spirits as a young man of twenty. Nothing has since occurred to interfere with his more perfect sight, and he can see to^ read, Avith the aid of glasses, as well as he could thirty years previously, CASES AND OPERATIONS. 239 CASE 80. Lad Blind from Congenital Cataract. Robert Moses Wilson, aged fourteen years, son of Elizabeth Wilson, of Dorchester, County of Middlesex, (London) had Cataracts formed on both his eyes soon after he was born, AA'hich Avere soon so complete as to blind him. He remained in this state till about two years ago, Avhen he was taken to NeAV York, where by the aid of the best counsel there, he was operated on for the removal of one Cataract, Avhich was only par- tially successful; and not having sight enough by what Avas then done to educate him, he was recommended to my notice, and on the 10th of May, 1853,1 performed an operation on his right Eye, and removed the Cat- aract. The operation Avas most complete, for in an instant he found his sight restored, and suffered none by this operation. I saw him on the folloAving day, and found him still improved and doing well. Being obliged to leave London about that time, I did not see this lad again till the 14th day of February, 1854, being about nine months after. I then found his cataracts were en- tirely gone, and nothing remained visible in either of his eyes to indicate that he had ever been afflicted with any disease of those dehcate organs. He told me he could see perfectly plain and clear, was going to school, and he was making rapid progress with his education ; giving another and most striking illustration of the good old maxim, " better late than never? It is just to remark in this last case that so soon as the sight of the ri"T)il ................................. Od Anatomical Section of the Eye. with explanation-.- 61 Sight restored b" Coni rz, 67 69 ':- -m V -■ %■■'•£*' 0>''£f'o ■r"; i3$t$r s*i* '*/•* !.y '•Zi'gM Itfg 0 * » .v ^>*'* Jr\<«B.*? t-^pf ?i2*a^ &"-v**r f^*^RSl ^s 'zL&>&' •VW ►r- v "Or . > '£±** 50 *>«fe--'^ p': /.' *^ ***fJfc •<$&.. *-v> '.<%-, A°^. 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