ee te 
GUTTA 
n and. Richter have oa = pupil capable of mo- 
‘tion in ahs of amaurofis; Schmucker has twice een the 
fame circumftance ; and we have aBlervet it in not jefe than 
eight inftances, fome of which were in St. Bartholomew’s 
hofpital, and others in the York hofpital, Chelfea. 
s. filaments, which are di- 
tributed to the iris, and endue it with fenfibility and a pow er 
with the nerves of fight, it is poffible for 
them to retain ‘hei fenfibility, while the latter are quite de- 
void of that property 
The preceding kind of cafe is fométisies reverfed ; namely, 
the nerves of the iris may be paralytic, while thofe of fight 
continue aaicapeired. aoe informs us that he w 
was iacomnialy 
Her fight was 
She could 
infirmity of fight depended upon the dilated paralytic ftate 
of the = » by . so many rays of light were admitted 
into t eye; and r 
Int treatment of the gutta ea the practitioner 
pe itd firft to endeavour to difcover and remove the caufe of 
ht does not invariably re- 
“turn, =e the real ‘deat ae the blindnefs is radically 
tT fuch cafes, the continuatien of the lofs of 
figh nt is afcribed to the torpor of the nerves, which have 
a confiderable time without action, and have been 
‘impaired by the difeafe. The practitioner ufually prefcribes 
ftimulants an tonics, with a view of brin the nerves 
into their original ftate of a€tivity. In other cafes fight 
Sori as loon as the caufe of the difeafe is removed. When 
to make out any thing re 
the, furgeon fhowld found 
it is found impoffible 
‘caufe of the diforder, 
the 
taken i the origin 
from which fo ome Fags Prk may be drawn refpeting the 
nature~ of the c When no appearances of this kind 
“Occur, nd nothing can be learnt our the caufe of the 
yt muft ise recourfe to fuch empirical 
4 urgeon ae 
y 
as a ex hewn to be fometimes 
removing the affeGtion, iongh sk ex- 
planation cannot always be given of the manner in whi ch 
ise i follow, Richter, and fel treat of tha t method man.w 
of eure which is direéted a 
and which is to be the caufes | of the difeafe, 
ee 
om 
thofe which feem to ace the difeafe, by 
e, blood, or elfe upon fome other caufe of the firft clafs. 
‘put on, ae Richter, 
rft clafs of caufes, ginnin 
SERENA. 
in the cure of aghtgrd cafes of the gutta ferena is ftrikingly 
exemplified by erous well authenticated obfervations 3 
and a fingle eseuaion of this kind has been known to 
fuffice for the Ri sate of Ber Richter informs us of 
a spas don man who ha 
ral bleeding jopecinies proves taetheeeal: “unlefs.af- 
fifted a topical. Leeches may be applied fe the temples, 
er cupping-glaffes to the "back part of the en 
the diforder feems to be conneéted with an spe oho 
of the menfes, or the ceffation of bleeding from piles, leeches 
may be put on the perineum, the infide e Mod thigh, or the 
facrum. Local b 
eet in warm water, &c. 
n fom or a the eos means fail in producing 
the defired benefit, even when they have been followed up 
as = as the pulfe and oa are Pais will allow. 
the diiorder may be of two 
sepeiil upon the ftoppage 
P 
In 
the firit of thefe cafes, fays Richter, experience fhews that 
the difeafe will fometimes not give way before the sere 
difcharge is re-eitablifhed o ple oe the eg de 
notwit iro? evacuants 
o 
attice woman who had been blind half a year, and did not 
alte ake ». whofe external parts a generation leeches 
were ON a As often as the leeches were 
menfes in part recommenced ; 
their appearance, which was feldom 
as long as they made th 
above two hours, the woman Ways enjoyed a degree of 
eet the 
the curative vifion 
vhi ve 
In. ‘the fecond fort of cafe, tp which we have alluded 
above, or that in which the difbafe has = its.origin from a 
floppage of any natural or habi ce rge of | 
and does not yield to the evacuatin oe Richter thinks 
that the furgeon oe ultified in contain that the p1 
en dilated veflels have loft. Jag : 
employing topical eee a parti 
cunts cold water. ‘That the "velfole dor toiatanes Sopa 
in this weakened fate, fo Pe to prot tract. the difeafe, tee 
preceding author endeavours w, by the cafe of a wo- 
ho loft her fight in fod shh of the ftoppage of 
eg mentfes ; and though, on the return of this di dichargs, 
recovered it again, yet fhe was afterwards in the hab: 
of lobing it again, for the fpace of two days, before the oi 
g of every menftruation, and of Fegaining it as foon 
ee ee ‘afhing and b the whole 
Jd wat 
& 
. 
1 with « pecially the part about the eves 
may Sigh oo : with fingular benefit 
Bike. the ars * fight « ease be 
sia 
ste yt ges 
