![]() Our goal was to compare compositions from the earliest cultures to describe cataract surgery to clarify when and where the procedure started, and how it evolved. We set out to review the origins of cataract surgery. We review the evidence in favor (and against) each of these types of surgery. Various authors have suggested that multiple types of cataract surgery were practiced in the ancient and medieval periods: (I) couching, (II) discission (division), (III) aspiration through a tube, (IV) extraction through a limbal incision, and (V) expulsion of lens remnants around an embedded probe. Thus, the question of where cataract surgery started has not been resolved. On the other hand, the emphasis on surgical ambidexterity could suggest an origin close to the Mediterranean. The sitting posture of the patient, ocular convergence towards the nose, the more systematized integration of the humoral theory with cataract surgery, and possibly blowing on the eye and putting cotton on the eye are all consistent with an Indian origin for the procedure. ![]() In both regions, the lens (or pupillary region) was compared to a lentil, and colored entoptic phenomena were noted. In ancient Greece and India, the words describing the color of a healthy blue eye (glaukos and nīla, respectively) could also characterize a poorly-seeing eye not curable by surgery. Certain idiosyncratic practices are common to early Greek and Sanskrit descriptions of cataract couching, e.g., the requirement for maturity of the cataract, the preference for patients of intermediate ages, comparison of some eyes to glass, rubbing the eye, having a wide portion of the couching instrument shaft, pars-plana puncture with avoidance of the vein, and immediate vision testing. ![]() Indian tradition and the Persian author Zarrin-Dast attributed the procedure to the Indians, while pseudo-Galen suggested an Egyptian origin. Near as Mike and Becca are able to tell between them, the Wanderer is fit and ready to lift into the black.Where and when cataract surgery started have been a mystery. Mr Jan does not make a farewell appearance, not even via secure wave.īillie is too busy being promoted to say goodbye. Make sure this don't get swept under, if you follow." I'm of a mind someone ought to be on hand to track how things unfold. "I hate to leave you guys short for the trip out, Captain, but I'll be staying on here, for the foreseeable future. When things have died down a bit, Maggie steps up to talk to him. If there's anything me and mine can ever do to return the favor, just say the word." At which point, Sandy and Amy both step up and impulsively hug him. You and yours did right by us a thousand times over. We don't necessarily have to go with whatever is in the front of my brain at the time.īoggs comes around midday on the third day with a crew to collect any remaining equipment, and Miranda drops by the ship to render full payment plus a substantial bonus for all the crew's efforts on her behalf. That can get played out or happen between episodes as you like.Įven if everything wraps quickly, I'm going to wait until is back from travelling and is back from death's door before launching Episode 2 (though I'll pitch the episode before than).Īs always, if a suggested episode doesn't appeal, let me know up front. The only such item on my radar atm is Dec severing employment with the crew to become a free agent aboard the Wanderer if that is still a thing. Those can happen off screen or get played out as you like. That said, I pretty much reserved Act 5 of this episode for a quick wind down and for you guys to wrap things up however you like with any of your personal goals. Now that the Alliance proper (and not just Planetary Authority of a rim planet) is involved, she won't get the property back even with a provable default to the contract. OOC: FWIW, Jan will deal fairly with Miranda, either making sure she gets her remaining property or its value in credit or currency.
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