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The Golden Age of Ophthalmology
Ophthalmologists in their never-ending, battle against blindness have made enormous progress. Trachoma has been almost totally eradicated; antibiotic therapy has sharply reduced the incidence of blindness from gonorrheal, pneumococcal and postoperative infections: severely injured eyes, which formerly were removed to prevent ophthalmia and blindness in the companion eye, are now being saved by corticosteroids, antibiotics and new microsurgical techniques.
Electron microscopic studies have extended our knowledge of the anatomy of the eye to the ultrastructural level. Important developments in pathophysiology have helped to define the nature of the mechanism which produces variation of intraocular pressure. In addition, new drugs and, improvements in diagnostic and surgical techniques have enabled ophthalmologists to arrest the progressive loss of sight caused by glaucoma.
New technologies have been adopted and used by ophthalmologists. One of these new techniques is ultrasonography — an important aid in diagnosing orbital lesions, intraocular foreign bodies, tambours, hemorrhage and retinal detachments. Utilisation of lasers in ophthalmology is increased. Laser therapy is an effective procedure for coagulation of retinal lesions and for angle-closure glaucoma. Laser therapy may be administered to an individual on an out-patient basis, thus eliminating the need for hospitalisation.
Undoubtedly, the most exciting ophthalmic development in this decade is the miraculous restoration of sight immediately following cataract surgery. Within an hour or less, the skilled ophthalmologist can use microsurgical techniques to remove the cataract and implant an intraocular lens, thereby restoring the sight of patients blinded by cataract. Adding to this miracle is discharge of the patient from the hospital on the same or following day.
Another significant technological advance is vitrectomy, an operation which permits the surgeon to restore sight in eyes blinded from an opaque vitreum. A number of important new drugs have been introduced into ophthalmological practice.
In combating viral infections antiviral agents are being used with some success. Interferon. a product produced by cells challenged by a virus, has recently been shown to be a very effective therapeutic agent for herpetic infections.
Like the ancient Greeks' concept of time as a flowing river, progress is made in a continuous stream. It is clear that many different scientific disciplines have contributed to the phenomenal advances in ophthalmology, making this era a veritable "Golden Age of Ophthalmology".