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Updated: May 25, 2025
Anyone who has read Colonel Elliot's book on the sclera-corneal trephining operation will be struck with the fact that he has not only had a tremendous experience in ophthalmic surgery, but that he has made the best of that unusual opportunity, and that to a foundation of a careful training he has added the experience of twenty-two years of hard painstaking work.
He had read something about trephining and inserting silver plates, and he hammered out a silver dollar and set it like a piece of mosaic into McKiernan's forehead, where it resisted the efforts of nature to repair damages and caused McKiernan a thousand times more agony than he had suffered from the Grizzly's tusks.
Those of us who have had the pleasure of seeing the trephining operation done by Col. Elliot are impressed with the fact that the operation, even in the hands of its originator, is not, when properly done, uniformly easy of performance.
In other words, we are seeking not the operation that will cure every case of glaucoma but the one which is capable, in the hands of the average ophthalmic surgeon, of relieving or curing most cases of that affection. Dr. Casey A. Wood's Paper on Operations Other than Scleral Trephining for the Relief of Glaucoma Discussion, Fort Wayne.
Wood has cited, trephining heads the list of remedial measures for the relief of glaucoma, and it has the advantage of being applicable to any form of the disease, to be relatively free from danger, either immediate or remote, and to produce the highest percentage of favorable results.
He went at once and sat down on the edge of the bed, with Godalming beside him. We all watched in patience. "We shall wait," said Van Helsing, "just long enough to fix the best spot for trephining, so that we may most quickly and perfectly remove the blood clot, for it is evident that the haemorrhage is increasing." The minutes during which we waited passed with fearful slowness.
Broca suggests that the trephining was done by scratching or scraping, but, as Lucas-Championniere holds, it was also done by a series of perforations made in a circle with flint instruments, and a round piece of skull in this way removed; traces of these drill-holes have been found.
Fourth: That to glaucoma may be added buphthalmos and staphyloma, as diseases often capable of relief by trephining and indeed toward the relief of which trephining is the best form of operation yet presented. And in occasional cases of blindness of not too long duration, it restores some vision, occasionally to a marked degree.
"Merely a scalp wound with a slight depression of the parietal bone," he said reassuringly. "It will require trephining but that is at the worst only a minor operation. As soon as the pressure on the brain is relieved he will recover consciousness. The bullet did not penetrate the skull at all, being deflected by its acute angle of impact.
Anne, I have come to the conclusion that if Dick Moore were taken to a good hospital and the operation of trephining performed on several places in his skull, his memory and faculties might be restored." "Gilbert!" Anne's voice was full of protest. "Surely you don't mean it!" "I do, indeed. And I have decided that it is my duty to broach the subject to Leslie."
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