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Among the anomalies of ophthalmology is the condition known as irido-dialysis from contusion. Anomalous, because, while well known to all ophthalmologists, described in all ophthalmic works of importance, and its discomforts fully recognized, no treatment is advised or even suggested.
That treatment is unimportant in the lesser egrees of the trouble, "goes without saying;" but in cases where the separation of the periphery of the iris is one-fourth of its circumference, and the accommodation normal, as occasionally happens, the dazzling and monocular diplopia is extremely annoying. This is particularly the case when the detachment is situated at the inner, the outer, or the lower periphery.
The segment of iris torn from its peripheral attachment becomes paralyzed, and later on, atrophied.
Many years ago Critchett gave us the operation of iridodesis, which Stellwag, Wecker and others have modified, and the operation which I have found so successful is a yet further
SMITH E. TREATMENT OF IRIDO-DIALYSIS FROM CONTUSION. PARTIAL IRIDENKEISIS, WITH OR WITHOUT SUTURE.Read in the Section on Ophthalmology, at the Forty-second Annual Meeting of the American Medical Association, held at Washington, D. C., May, 1891.. JAMA. 1891;XVII(12):445-446. doi:10.1001/jama.1891.02410900021001d