Abstract

It has been estimated that in from 2.5 to 3 per cent of all cases of cataract some mental disturbance develops following the operation. Numerous authors have published reports of cases of dementia, others cases of delirium, and others cases of acute mania. These definite varieties of mental imbalance, as their name indicates, are varying degrees of the same process. Some have asserted that such mental disturbances are not more common after cataract operations than after other surgical procedures; but I am firmly convinced, from my own experience, that operations on the eye involving a bandaging of both eyes are much more likely to be followed by varying degrees of mental imbalance than other surgical procedures performed under like conditions but without a blindfolding of the patient, especially in view of the fact that most cataract operations occur in those past middle life and often in the very old and

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