March 24, 2008

Measuring Eye Pressure

Did you know? Until 1905 there was no objective way to measure pressure within the eye. In that year, Norwegian ophthalmologist Hjalmar Schiotz invented the first tonometer, which now bears his name, the Schiotz tonometer.

Schiotz


Until this time, doctors estimated pressure within the eye by pushing on the eye through the eyelid, and guessing, much like you might push on a bicycle tire with your thumb and guess the pressure. The Schiotz tonometer actually works in much the same way, it measures the weight necessary to indent the cornea a standard amount.

Knowing the pressure more accurately allows us to better diagnose and treat glaucoma, a disease usually caused by elevated eye pressure damaging the optic nerve.

The Schiotz tonometer is still used in many parts of the world, and when I trained, it was what most doctors used as a portable tonometer.

Did you also know? Dr. Schiotz was also responsible for introducing the concept of sterilizing surgical instruments (by boiling) to Norway.

February 12, 2008

Happy Birthday Abe!

Did you know? There is a story about Abraham Lincoln seeing his ghost while looking into a mirror from his bed, shortly after being elected in 1860. By studying numerous photographs and portraits of Lincoln, ophthalmologists have determined that Lincoln had a weakness of a muscle in his left eye (the trochlea), which made the eye unable to look downward in certain positions, including when trying to look into a mirror from a supine position. This would explain his double vision during the incident. Others have ascribed this story to a mirror having two reflecting surfaces, but I find that less convincing.

Abraham_lincoln_seated_feb_9_1864

Did you also know? Physicians say there’s a 50/50 chance that Lincoln had Marfan’s Syndrome, which causes elongation of the hands and jaw during adulthood, due to an excess of human growth hormone. (Marfan's Syndrome can also can dislocation of the lens within the eye).

photo courtesy wikimedia commons

February 13, 2007

Happy Birthday Darwin!

Did you know? Yesterday I also missed the birthday of Charles Darwin! Happy Birthday!

Did you also know? I'll write about Charles Darwin and ophthalmology in a later post!

A Way With Eyewords?

Did you know? I had the pleasure this week of hearing Martha Barnette speak. Martha Barnette is a language expert, author, and co-host of A Way With Words, the wonderful syndicated radio show from KPBS, San Diego. This week I will write about a few of my favorite ophthalmology words. Let's start with ophthalmology! The origin is not that interesting, ophthos=eye logos=words, so ophthalmology = study of eyes. What's unusual, though, is that ophthalmology is one of those words which is simply IMPOSSIBLE to spell if you are not an ophthalmologist. (Close your eyes and spell it! I dare you.)

Did you also know? There are only a handful of other words in English with the letters phth together. Diphtheria (a severe disease of the throat, rare now due to vaccinations), diphthong (a syllable formed by two vowel sounds, like in boil or foul), naphtha and its derivatives (a volatile hydrocarbon), and my favorite, phthisis (what occurs when a diseased eye shrivels up!)

February 02, 2007

Ben Franklin and Bifocals

Did you know? Benjamin Franklin (1706-1790) really did invent bifocals! Franklin was a prolific inventor. He grew tired of switching from distance glasses to reading glasses, and suggested to his optician that each lens be cut in half and the distance lens be placed atop the near lens. Thus, bifocals were born! A detailed summary of Franklin's invention exists here.

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image: wikipedia public domain photos

Did you also know? My favorite Franklin invention is the glass harmonica. It consisted of crystal glasses arranged in a manner that they can be rotated and "played" by a wet finger. Mozart even wrote a concerto for glass harmonica! Here's a picture of Franklin playing the glass harmonica, wearing his bifocals.

About

  • Blake Shaw, M.D. is a comprehensive ophthalmologist with a private practice in Chula Vista, CA. He may be reached at 619-216-0400 or at the office website listed below.

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