Excerpt from A Treatise on "Unripe" Cataract

IN the year I884 - just fourteen years ago - I brought to the notice of the Profession the Treatment Of Immature Cataract by Intra-ocular Injection and Irrigation, in my address as President Of the Ophthalmological Section Of the British Medical Association, at its meeting in Belfast. The method was not limited to that form of Cataract, but likewise was advocated for removal of Cortex in Cataracts completely developed as a substitute for other methods.

From that time till the present, Injection and Irrigation have been in constant use by me, and I have applied them in about 700 cases of various kinds. My purpose now is to limit my observations as much as possible to the immature or unripe forms.

There is doubtless a widespread desire on the part of the Profession to Operate on Cataract at an earlier period than has been hitherto customary. The sine qua non, however. To give effect to such desire is a method of very general appli cation, involving no very great difficulty for the surgeon, and no special risk for the patient, with a precise statement of the rules for its application, and detailed reports of an adequate number of illustrative non-selected cases. It seems to me that the time is opportune for a serious consideration Of the subject.

When I began, some time ago, to give renewed attention to the subject, with the view Of writing an article for one Of our periodicals, I found it necessary to regard the matter in so many aspects that I could not do justice to the importance of it in a short space, and I considered my purpose might be better served by putting my views in the more lasting and more readily accessible form of a monograph.

The treatment Of Unripe Cataract of the common cortical forms was a matter of such frequent occurrence in my practice that I had almost ceased to regard it as at all out of the common. SO it happened that I did not take always, as I should have done, full notes of all the circumstances of each operation at the time.viii. Preface.

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