VII. AMAUROSIS.

Among the cases entered under this head, is one where the patient could only distinguish one side of any object she looked at.

CASE 26.-Sarah Minching, æt. 27, was admitted April 13th, 1832. The patient states that, on awaking one morning, she was surprised to find she could only see the left half of an object; and that it made no difference which eye she looked with, or if she looked with both it was still the same. Her eyesight was perfectly good when she went to bed on the previous night. Works a great deal with her needle--had no unusual quantity of work before this attack had no pain in the eyes or giddiness-catamenia regular. Was attacked with this affection of the eyes fourteen days since.

R. Magn. sulph. 3ss. Ant. tart. gr. ij. quaque secunda nocte sumend.

16th. States that she sees clearer; can see both the left and right side of an object, but the right is very dim and indistinct. Is much affected by a strong light. Rep. med. 18th. The dimness is still very great, and she states that her sight is no better than when last seen.

Rep. Mag. sulph. et Ant. tart.

23. States her sight to be considerably better, and she can distinguish the right side of an object much more distinctly. In the evening she does not feel any inconvenience. Rep. med.

25. Much the same as when last seensight not improved. Cont.

30th. Has continued the medicine since last report, and is now perfectly recovered ---can see both sides of an object distinctly. Discharged.

VIII. CATARACT.

Of the operations for cataract, two were for depression.

CASE 27.-Joseph Procter, æt. 22, Jan. 30th, 1832. Capsular cataract from injury when he was five years old. Mr. Guthrie separated the capsule from its adhesions, and depressed it. Slight attack of inflammation followed, which the usual antiplo gistic remedies overcame; and, on the 4th of

February, he was discharged, the cataract having become almost entirely absorbed, and since that period has been completely.

CASE 28.-Edward Collins, æt. 13 months, May 21st, 1832, with capsulo-lenticular cataract of the right eye.

Mr. Guthrie depressed the cataract, and the case did well-was discharged from hospital the following day, and has since gone on very well.

There have been six patients operated on for breaking up the cataract.

CASE 29-James Stockman, æt. 25, Jan. 27th, 1832. Capsular cataract of the right eye, first noticed ten months since.

Mr. Guthrie separated the adhesions of the capsule with the iris, and broke up the cataract. He was discharged on the 1st Feb. The capsule still seen floating, but it was ultimately absorbed without further operation.

CASE 30-Edward Madle, æt. 25, Jan. 27th, 1832. Capsulo-lenticular cataract of the left eye, the right eye being perfectly sound. He did not notice the gradual formation of the cataract.

Mr. Guthrie broke up the cataract; parFeb. he was again operated upon; much tial absorption took place. On the 29th more of the lens became absorbed after this; but, May 20th, it was necessary again to operate, and the capsule was more freely broken up, and a slight adhesion, which it still had with the iris, separated. The cataract, after this, became so absorbed as not to interfere with vision.

Guthrie separated the capsule from the iris, During this last operation, when Mr. the iris, at that portion, instantly became changed in colour, becoming quite green, and this, on the following day, had spread over the whole iris; so that, as to colour, it had the appearance of acute inflammation.

CASE 31.--Ellen Mills, æt. 15; 1st February, 1832. Soft cataract of both eyes.

Mr. Guthrie operated on the right eye by breaking up the lens. After the operation, a considerable portion was absorbed; but it required that the lens should be further

On the 5th March she was discharged, and afterwards attended a short time as an out-patient-the lens was completely absorbed.

CASE 32.-Thomas Sewiss, æt. 10, February 1st, 1832, with congenital cataracts of both eyes. His father stated that his sight was first affected seven years ago, but that it was only two years since he became quite blind. His mother's father brought him to the hospital, and was affected in a similar manner in both eyes.

Mr. Guthrie broke up the cataracts in both eyes. The cataracts did not appear to have been much absorbed after this operation; therefore, on the 29th February, the operation was repeated in both eyes, after which much more of the lens in each eye became absorbed. But still portions of the hardened capsule required a third operation in either eye; but this was quite successful, the boy's vision being restored by the complete absorption of the cataracts.

CASE 33.-Jane Brazier, æt. 5, May 5th, 1832. Congenital cataract of both eyes.

The operation for breaking up the lens and capsule was performed in both eyes. Slight constitutional irritation succeeded the operation, but no local inflammation; she was discharged in a few days, absorption of the cataracts going on rapidly (see

W. Hoole's case).

was removed from the right eye, by extracting the upper section of the cornea. There was, for several days, some inflammation, but this was subdued, and the eye became quiet, and she was discharged 20th March, and could see pretty well.

CASE 36.-Charlotte Richards, æt. 45, March 14th, 1832. Cataract of both eyes, the left more advanced, and Mr. Guthrie removed the hardened lens in the usual manner; the usual after-treatment was adopted, and she was discharged 24th March; but her sight was rather imperfect, on account of chronic conjunctival inflammation.

CASE 37.-James Stovey, æt. 72, April 25th, 1832. Had cataract of the right eye. The operation was performed in the usual manner; but on the 2d May, after having gone on well till then, great inflammation was set up from cold; he is now (June 1st) in Hospital, the cornea having suffered from the inflammation, and being opaque.

CASE 38.-Hariet Highfield, æt. 58, May 4th, 1832. Hard cataract of the right eye

lens of the left becoming opaque. The right lens extracted in the usual manner. There was very little after-treatment necessary, the local and constitutional symptoms being mild, and on the 13th she was discharged cured.

of the lens.

the left eye, and incipient cataract of the right.

On the 23d, Mr. Guthrie performed the operation of extraction in the usual manner. The operation was succeeded by violent inflammation, and although the lancet was freely used, suppuration ensued. The patient did not complain of any pain during the inflammation.

The next case should have been inserted

with those where the cataract was broken up.

CASE 40.-W. Hoole, æt. 67; March 2d, 1832. Mr. Guthrie broke up a capsular cataract of the left eye, which the patient had

noticed only for six months; then followed considerable fever and local inflammation, and, on the 28th of May, the report states there is still slight conjunctival inflammation; the pupil is clear, and his sight improving daily. He was then discharged.

CASE 41.-There was one case of milky cataract. The patient, a man of the name of Evan Davies, was operated upon on the 2d March, 1832; but he will require a

further operation before he recovers the use of that eye.

We conclude with a list of the patients who have attended at the institution from the 1st January to the 1st of June; their diseases are specified as well as the numbers in the different months. We shall endeavour in future to give a Quarterly Report from this useful Institution, and to render it as accurate and conducive to the dissemination of ophthalmic knowledge as possible.

LXXXVI.

CHOLERA IN THE SHIP BRUTUS.

THE Outbreak of the epidemic in the above unfortunate vessel, exceeds in fatality any thing that has yet occurred in England. A

vessel of about 300 tons contained 330 passengers, most of whom were in a state of great poverty, being ill clothed, and not having provisions for half the voyage, was attacked with the epidemic on the 10th day (one account says the 8th) after sailing from Liverpool; and, in a few days, 81 out of

117 fell victims. The passengers were entirely paupers, and it appears that the weather, when the epidemic was at its height, was hazy and tempestuous. The state of crowding, the condensation of human effluvia, the scanty food, and the great deficiency of clothing, account, in a great measure, for the fatality of the attack. Those only who have seen ships with emigrants for America, can form an idea of the misery and crowding, and bad air at night, when the hatches are closed, and the people all in the 'tween decks. It required, however, an epidemic influence to render such a place a lazar house.

department of this Journal. The last article from his pen, was the extended review of Dr. Bright's "Reports of Medical Cases."

The profession is aware that Dr. Dill took an active and zealous part in the investigation of the epidemic cholera in this metropolis-the more so as he was the author of a distinguished article on that subject in the Foreign Quarterly Review, where he gave a fair statement of the case, though leaning somewhat to the doctrine of contagion. In the midst of this investigation, Dr. Dill was seized with typhoid, or rather petechial fever, caught, apparently, from some patients labouring under the same disease in the hospital; and, although every effort was used by his medical friends and attendants, this amiable and promising young physician died on the 15th day from the commencement of the attack. We, who had ample means of knowing Dr. Dill's character and attainments, have the deepest cause to mourn his premature death! His labours are terminated, but his memory will long be cherished by all those who had the pleasure and advantage of his acquaintance.

LXXXVII.

THE LATE DR. DILL.

Ir is with deep regret we announce the death of this talented and zealous young physician, cut off in the flower of his age and faculties, and while contributing largely to the extension of science and the diffusion of knowledge by his active mind and pen. Dr. Dill was the son of a highly-respectable clergyman in the county of Derry, and a graduate of Edinburgh. He had been several years resident medical officer in the Fever Hospital, pursuing his clinical and physiological researches with great ardour, and contributing largely to many periodical and other works, though his name seldom appeared. During the last four years, Dr. Dill had a regular engagement in the review

LXXXVIII.

MEDICAL CONSTITUTION.

OUR observations induce us to think that & gastro-enteric diathesis or constitution is now forming in this country, or, at all events, in this metropolis, similar to that which commenced about the same period (June) of last year-and that, if heat and moisture alternate, as of late, we shall probably have another brush of cholera or cholerine, this Summer and Autumn. We have observed a preternatural irritability of the alimentary canal, for some weeks past, in consequence of which, slight errors of diet, exposure to cold, or even mental perturbation, bring on diarrhoea, ending occasionally in well-marked cholera, so called. Within these few days two individuals died in the Haymarket, presenting all the features of the recent epidemic. One of them (a

female) had not been out of her room for many months previously. She was seized, after eating food of difficult digestion, with diarrhoea, which, in 24 hours, rose to cholera, and killed her in 12 hours. The other (a foreigner) ate heartily of pease-soup and mackarell-was seized with sickness and purging, ending in a fatal collapse. Even an irritating dose of physic, in health, risks an attack of cholera. We trust that, should the epidemic again become prevalent, our public institutions will not be shut against the sick poor. Our prejudices on this head have made us the laughing-stock of enlightened Europe.

22d June, 1832.

LXXXIX.

DR. SEEDS' OPHTHALMIC LOTION.

SINCE our last, Dr. Seeds has shewn us some cases in which he used this lotion, the composition of which is mentioned in our last Number. In all it was productive of much benefit, particularly in the instance of a gentleman who had received a wound in the eye in Albania, and who had partial staphyloma.

Dr. S. is now in his 77th year, and we are sure that the benevolent feeling which prompts him to devote much time and trouble to the employment of a remedy which he believes to be advantageous, cannot fail of obtaining admiration.

1. The Dissector's Guide; or, Student's Companion. Illustrated by numerous Woodcuts, clearly exhibiting and explaining the Dissection of every part of the Human Body. By EDWARD WILLIAM TUSON, F.L.S. &c. Small 8vo. boards, pp. 219. Wilson, London, 1832.

Mr. Tuson's myological and other anatomical works are already such favourites with students, that we do not doubt his success in the present attempt. We have looked over this Dissector, and we think that the woodcuts which illustrate the description and explain the directions, are likely to prove extremely useful to the young dissector. The price is very moderate-nine shillings. We should mention that the work contains the methods of securing the different arterial trunks, and a brief account of the fractures and dislocations, &c.

2. An Account of Cholera and Cholera Fever, as they existed at Rochester and its Vicinities, in the year 1818. Published at that time by the late WALTER Vaughan, M.D. Licentiate of the College of Physicians of London. Octavo, stitched, pp. 54. 1832. We may notice this.