Læknablaðið : fylgirit - 01.08.1978, Blaðsíða 45

43
sezt þar að og stundaði augnlækningar frá
20. sept. 1921.
SUMMARY.
EYE SURGERY AT ST. JOSEPHS HOSPITAL
IN REYKJAVIK 1902 — 1923.
Ever since St. Joseph’s Hospital in Reykjavík
was founded in 1902 — seventy five years ago
— the main Ophthalmic Service in Iceland
has been located there.
The first ophthalmologist in Iceland, dr.
Björn Olafsson belongs to the small group of
pioneers of modern medicine in Iceland about
the turn of the century. His eye-surgery at
the St. Joseph’s Hospital is recorded in Table 1.
Beíore the hospitai was opened he penformed
his operations in his patients’ own homö^.
The most common operations were pro glau-
coma simplex.
The last year he lived, 1909, he performed
20 iridencleisis operations a.m. Holth, the first
filtratating operations done in Iceland.
Before that time iridectomies were the most
prevalent operations for glaucoma.
The most common cataract operation was
von Graefe’s linear extraction of the lens.
Plastic operations on the eyelids and face are
especially notewortfiy. He was the first doctor
in Iceland to transplant a skin-flap without a
pedicle from a distant region.
His first operation of that kind was per-
formed already in 1894. The case histories
printed in this paper are from Ólafsson’s pri-
vate journals.
The second eye-doctor in Iceland was Andrés
Fjeldsted. He treated his patients in St.
Joseph’s Hospital from the beginning of his
career as an ophthalmologist in 1910 until his
death in 1923, According to Table 1 the great
majority of his operations were pro glaucoma.
The first four years he did sclerectomies a.m.
Lagrange, but after that he did corneo-scleral
trepanatio a.m. Elliot.
The first ophthalmologists in Iceland carried
out work comparable with that done by their
colleagues in neighbouring countries.
HELSTU HEIMILDIR.
Landsbókasafn íslands, handritadeild:
Sjúkradagbækur Björns Ólafssonar
„C, D“ óskráð.
Skjalasafn Landakotsspítala:
Sjúklingaskrá 1902 — 1923.
Þjóðskjalasafn íslands:
Ársskýrslur héraðslækna til land-
læknis.
XOKKKAil SJÚIŒASÖGUR FRÁ
LANDAKOTSSPlTALA UR FÖRUM
BJÖRNS OLAFSSONAR, AUGNLÆKN-
IS, 1902-1909.
1. saga.
1/9/02 G.P.dóttir, Bjarghúsum í Höfnum, svo
gott sem gdftj 59 ára.
Cataracta senil. u.o. Epifora chr. Evers.
Cat. mat. o.s., L og P. góö, Myoyia ca. 2,00 o.d.
S = t.F. í 3 m. Can. inf. & sup. u.o<. Skorinn
upp Z til 3/11. 9/11 gerö Cataractaextraction
meö Iridectomia o.s. Ut/11 reind Extraction
o.d. án Iridectomia, en Lens tíndist í Corpus
vegna mirkus, Pt. lagöur á grúfu, en ekki
tókst heldur aö ná Lens; nokkrum dögum síöar
kom Irritation i augaö og Lens sást fram viö
Iris aö ofan, var þá gerö Iridectomi að neöan
og lens náö viö illan leik (vaxin viö corp.
ciliarel. F.n. o.s. H + 9.00 S 5/18, les meö
+ 13.00
2. saga.
14/11/02 J. Þ.son, Vatnseiri v/PatreksfjörÖ,
38 ára.
Sequlce Erysipelat, fasiei,
Ectropion palp.sup.et inf. o.s.
Keratit. sup. ulc. o.s.
Pt. kveöst hafa fengiö Erysipelas fasiei firir
1 1/4 ári siöan meö Gangrœn á skinni augnlok-
anna. Efra augnalokiö er talsvert ektropinoerað
og sníst jafnvel stundum alveg um, en neöra
lokiö er mest ektropioneraö í itri helmingnum.
A, Psit., dagl. til 26/12 án þess aö Keratitinn
vildi gróa, enda húsaöi undir allt efra augna-
lokiö, svo aö augaö var aö kalia bert. 27/12
gerö í chloroformnarcose Operatíon ad. mod.
Krause. SkurÖur geröur eftir endilöngu efra
augnaloki parallelt meö Margo og augnáloks-
röndin færö niður; annar skuröur tæpl. 2 cm.
langur eftir itri liluta neöra augnatoks. Bœöi
skinndefectin þakin skinni af innanverðum
hægri upphandlegg. Asept. umbúðir. F.n., aö-
eins dóu smáskörö í utanveröu efri bót(ar)-
innar. Pt. fór 31/1 gróinn, bœtur þikkar, eink-
um sú efri, en eru aö þinnast.
3. saga.
3/3/03 S.S.son, barnakennari, Mírarhúsum
Seltjarnarnesi.
Glaucoma chr. o.s. Opacitates corp. vitr. o.d.
Choriodit. macuiœ tut. o.d.
S = O o.s., hefur verkjaköst í því, og þaö er
rautt, pupilUm víö, engin aögreining sjest i
Fundus T +. — Eserin og seinna Pilocarpln
dagl. tit 4/6 og frá 14/7 — 2/9, var þá verkur
farinn og roöi oröinn miklu minni, en Pt. þoldi
ekki aö tesa nema stutta stund í einu.