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Increasing belief in Colonel Elliot's view that trephining should be the operation of choice in any form of glaucoma, makes it difficult to consider operations other than trephining in anything but a spirit of disfavor.
His pilgrimage to our country will be the means of starting many in this new field, and we shall soon be able to draw more definite and final conclusions from our own experiences. Operations Other than Scleral Trephining for the Relief of Glaucoma Chicago.
I counted myself lost, and in view of the doctor's words, studied the progress of the experiment with frightful interest. But a few moments sufficed in which to realize that, for all my training, I knew as little of chemistry of chemistry as understood by this man's genius as a junior student in surgery knows of trephining.
I have rarely employed it in corneo-scleral trephining, and yet if there is this temporary reduction of intra-ocular pressure, it is not without a certain therapeutic value, and the matter is mentioned as a suggestion that additional observations along this line shall be made. Dr.
The results have been highly satisfactory thus far and similar to those following the trephining operation, which operation I have performed in a number of cases during the past ten months.
He emphasizes very much the necessity for careful attention to the gastro-intestinal tract in many cases of epilepsy. Planned diet and regular bowels are very helpful. He rejects treatment of the condition by surgery of the head, either by trephining or by incisions, or cauterization. Regular exercise, baths, sexual abstinence are the foundation of any successful treatment.
Third: The Elliot sclero-corneal trephining operation carefully performed in accordance with the author's technique in the light of our present knowledge seems to be the best and safest operation to produce that result.
My conclusions as to these two operations are favorable to the trephining operation because the Herbert tongue flap operation is much more difficult, and hence less certain than the Elliot trephining operation. The time for discussion does not permit a detailed statement of the results nor experiences in the handling of these trephining cases.
It is essential that he should work in a good light. The necessary technique can be acquired from a written description. It is not for a moment necessary that the surgeon who wishes to learn trephining should see the originator of the operation at work.
This prophylactic trephining is a proposition that I put before you today for your consideration, reminding you at the same time that glaucoma is practically invariably a bi-lateral condition.
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