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" 3. Patients can at least count fingers at one toot. " 4. Patients nnaiile to see as much as this, but have either the minimum of qualitative perception or quantitative perception of light, or can see no light whatever." The statement that perfect vision means J, and better, is extremely ex- plicit, and must make every candid reader feel sure that v. = J is wiiat Graefe says he obtained in his first class of cases. If this flat statement needs any confirmation, the second category, which descends discount diflucan at once to V. = -^^, would abolish all doubt. It is evident that, in comparing methods, we must criticise results witli greater care. At the same time, tliat a larger number of less absolutely perfect results may be attained by the peripheral linear than by flap is, if it can be proved to be a fact, a very strong argument in its favor when the issue between one method and another is to be tested. It remains to be seen buy generic diflucan online whether by Graefe's operation the number saved from entire failure or generic diflucan no prescription useless vision is not greater than by the flap. But the flap may be able, perhaps, to claim tliatits measure diflucan 150 mg costo of success, in scale of sight, exceeds that of diflucan cost the peripheral linear. Hence we may yet arrive at the conclusion to adopt one or the other kind of operation, according to the chances of success in a particular pa- tient. "We seem destined to an endless succession of suggestion, as to the mode of making incision for extraction. Dr. Liebreich tells us that three hun- generic diflucan online dred times he has made a cut transversely across the cornea just below the horizontal meridian, using Graefe's knife and not doing iridectomy. diflucan 150 costo Sta- tistics and visual acuity not given. Dr. Galizowski, in his diflucan cost without insurance late treatise, finds reason for an incision at the outer margin of generic diflucan 150 mg the cornea with a lance-shaped knife — a modified Weber method. Dr. Canstatt combines reclination and extraction — thus : a slightly- curved needle is passed into the sclera close to the lens, corneal section is made upward, diflucan compresse costo the aforesaid needle is used to pry the lens and capsule tiirough the pupil ; by light pressure they come out. Five cases have been thus treated, and " with perfectly satisfactory result." Tliat is all we know about them. 18. — 7'he 2Iodern Operation for Cataract. A Lecture by Dr. II. Dehby, of Boston, with an Analysis of Sixty-one Operations, 1871. This is a lucid and costo del diflucan detailed account of Graefe's mode of operating, and subsequent treatment df the cases. Besides quoting statistics from Graefe, Becker, and Knapp, Dr. Derby adds the results of sixty-one cases on which he operated, and they are as follows: Failures, 3; undetermined, 3; un- recorded. 5 ; vision | to J^, 44 ; vision -^ to ^, 6. Total, 61. Of the 44 " entire successes," v. \ and better = 19 ; between \ and J^ = 25. There were 8 with v. = |, and also 8 with v. = ,V) ^"^^ 9 with v. =|. 10. — On Extraction generic diflucan fluconazole of Cataract. diflucan cost with insurance By Prof. vo>r IIasxer, [Vierteljahr- schrift fiir die Praktische lleilkunde, xxviii., IBTl, Bd. 11, 73.] The drift of this article is to call attention to the f;ict that the most serious dangers threatening success after cataract extractions are not from sujjpuration of the wound or of the cornea, but spring much more com- monly from inflammations of the iris, ciliary body, capsule, vitreous, and choroid. An important factor leading to these complications is imperfect opening of the capsule, and consequent partial retention of lens-substance. 816 EEP0RT3 O:^ THE PROGRESS OF MEDICINE. Instead of a diflucan gel costo simple linear incision either vertical or horizontal, Prof. von n. favors an inverted V-shaped incision, the apex of which shall go far down toward the equator. (Prof. Hasner usually does the simple flap- extraction without iridectomy.) In spite, however, of this precaution, capsular cataract may ensue hy the folding in or wrinkling of the torn edges, or their pushing again into the pupil. The posterior capsule mny also become thickened. As an attempt to get rid of this annoyance, Prof. H. makes a hnear cut into the posterior capsule after the lens has been removed. The vitreous comes for- ward and pushes asunder the .flaps of the torn capsule, and in most cases secures a clear pupil. This mana;uvre has been done in more than a thou- sand patients within seven years. It was published several years ago, and the author, while strongly com- mending it, hopes that now the suigestinn will meet more attenticm than it could at that time, when the stream of ophthalmology ran so violently in another direction. What is meant by this allusion AviU be understood by recurring to his controversy with Graefe. generic diflucan over counter So far as we know, no one has adopted this proceeding, prob.ibly because it would seem to invite an unpleasant prolapse of vitreous. The pointed way in which Prof. Hasner insists that this danger is not a real one for the practised operator may not PufBce to remove even from such minds all fears. Certainly a large capsular opening is highly important. 20. — Keuritis Optica from Lead-Poisoning. By Dr. Sohiv^ellek, Danzig. [Klin. Monats., August and September, ix., 1871, p. 240.] The case recorded is clearly one of lead-poi^i^oning, and in this respect has decided clinical value. The man, forty-four years old, was a painter, and his general symptoms were the blue line on the gums, slight consti- pation, the skin of gra.vish tint. Only the left eye was seriously affected. There was central scotoma, v. = JJ^. Eight, v. = if. The optic nerves were reddened, not swollen, a little hazy, borders indistinct, covered by a thin veil which also rendered the retinal vessels dim. diflucan costo The arteries of normal size, and very tortuous; the veins so irmch like them as to be difficult to distinguish. The case improved under iodide of potassium, derivatives, blue glasses, and rest. The author also adds pfizer diflucan costo another case, and attempts to show that the featui-es of this kind of neuritis may be differentiated from other forms how much diflucan cost by certain peculiarities — especially because the veins so closely resemble the arteries in size and outline. He thinks their moderate size is due to contraction of the muscular coat, and that this establishes an analogy between the neuritis and the usual symptoms of lead-colic. We can hardly admit generic diflucan cost the conclusiveness of the reasoning by which the neuritis is asserted to be typical, but we are glad to have a

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