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The art of surgery: Sir William Adams (1783–1827)
  1. Richard Keeler1,2,
  2. Arun D Singh1,
  3. Harminder S Dua 2
  1. 1Department of Ophthalmic Oncology, Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA
  2. 2Department of Ophthalmology, Division of Ophthalmology and Visual Sciences, Eye ENT Centre, University Hospital, Nottingham, UK
  1. Correspondence toDr Arun D Singh, Department of Ophthalmic Oncology, Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA; singha{at}

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The illustration on the front cover is from Sir William Adams’ book, ‘Practical observations on Ectropium or eversion of the eyelids with a description of the new operation for the cure of that disease’ published in 1812. The book also includes a section ‘on the modes of forming an artificial pupil (figure 1) and on cataract omit ’.

Figure 1

Image from Sir William Adams’ book—pupilloplasty.

The left eye, top and bottom, shows ‘David Crommie's Eye previous to the operation and a fortnight later’. Likewise on the right top and bottom ‘Mr Menoe's Eye previous to the operation and after the disease was cured’. One might be forgiven for suspecting that the artist was persuaded that anything less than a perfect result would not be tolerated. It was in the illustrator's (artist's) gift to deal with any blemishes left by the surgeon. Preoperative and postoperative images constitute useful and important records and have been presented as evidence of the change induced by …

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  • Competing interests None.

  • Provenance and peer review Commissioned; internally peer reviewed.