St. Lucy & Eye Care through the Ages December 14th

Medieval Cataract Surgery – calling couching Eye Care through the Ages .

So, on St Lucy’s Day, you, being someone worried about your eyes, might have sought an altar dedicated to St Lucy, the patron saint of eye health. (see December 13th’s Post on St Lucy). Although you may be disappointed that there has been no miraculous cure for you, you might have been encouraged to do something about it. So that’s what this post is about.

There are only two churches in the UK dedicated to St Lucy or St Lucia. One run by the National Trust in Upton Magna, Shropshire, but there must have been a few chapels in Cathedrals and Abbeys dedicated to her. I have my eyes open for them!

For Redness of the Eye or Pink Eye

There are many household books still, existing. These show that much of medical practice was carried out in the home, by ordinary men and women. More often women, actively not only collected useful recipes and cures, but also tested them out and improved them. Here is an example:

For the redness of eyes, or bloodshot. Take red wine, rosewater, and women’s milk, and mingle all these together: and put a piece of wheaten bread leavened, as much as will cover the eye, and lay it in the mixture. When you go to bed, lay the bread upon your eyes calmer and it will help them.

Fairfax Household book, 17th/ 18th century. (Reported in The Perpetual Calendar of Folklore by Charles Kightly)

‘Pink eye’ is mentioned in a document unearthed at the Roman Fort of Vindolanda.  It lists the troops of the Cohort in occupation.  We read that of the garrison of 750, 474 are absent with 276 in the fort of which 38 are sick, 10 with ‘pink eye’.  This is probably conjunctivitis.

Prevention is better than cure

Things hurtful to the eyes. Garlic, onions, radish, drunkenness, lechery, sweet wines, salt meats, coleworts, dust, smoke, and reading presently after supper.

Good for the eyes. fennel, celandine, eyebright, vervain, roses, cloves and cold water.

Whites Almanack 1627

Cataract operations

Cataract operations have been carried out since 800 BC using a method called ‘couching’.

The practitioner would sit facing the patient and pass a long needle through the cornea to impale the lens. “He would then forcibly dislodge the lens — rupturing the zonules — and push it into the vitreous cavity, where it would hopefully float to the bottom of the eye and out of the visual axis.”

This was a last resort when the cataract was opaque and the patients nearly blind. It would mean they would need very thick lenses to see well again but, crude as it seems, it worked.

But the operation, without anaesthetics must have been a considerable ordeal. The recovery (still required today for those suffering from a displaced retina) means that the patient has to lie on their back for a week with supports on either side of the head to prevent movement. Of course, there was a serious risk of infection, so prophylactic visits to a chapel of St Lucy might be called for.

The modern treatment for cataracts was established in the 1940s and offers a great solution in 15 minutes surgery. Currently, the NHS has been having trouble dealing with all the cases required, (6% of surgery is for cataract operations). Before COVID-19, there was some talk about cataracts being, in practice, not readily available on the NHS. The waiting time is supposed to be 18 weeks but, for example, at NHS Chesterfield Royal Hospital the waiting time approaches almost 10 months. But waiting times around the country vary from 10 weeks to over a year.

Patrick Brontë’s Eye

On 26th August 1846 Charlotte Brontë took her father to Manchester from Haworth for Cataract surgery. The operation took 15 minutes but without anaesthesia. He was very calm and said the pain was ‘a burning pain.’ It was vital he stay still through the pain. Then, he had to remain in bed for a month in the dark, minimising movement. Leeches were applied to his face, to reduce the inflammation of the wound. He was looked after by a nurse 24 hours a day, supervised by Charlotte. She used the time she spent waiting in writing Jane Eyre. Her Father’s vision was significantly improved and he was able to resume his Parish duties.

Here is a youtube film about Patrick Brontë‘s operation:

Looking through Samuel Pepys’s eyes

You will note, above, that it was considered bad for the eyes to read in low light. It is a myth and not true. Poor Samuel Pepys was continually worried about his reading and writing habits ruining his eyesight. This is an extract from the poignant last entry in his famous diary:

And thus ends all that I doubt I should ever be able to do with my own eyes in the keeping of my journal, I being not able to do it any longer, having done now so long as to undo my eyes almost every time that I take a pen in my hand; and therefore, whatever comes of it, I must forbear: and therefore resolve from this time forward to have it kept by my people in long-hand. I must be consented to sit down no more than is fit for them and all the world to know; or, if they be anything, which cannot be much now my amores are past and my eyes hindering me almost all other pleasures. I must endeavour to keep a margin in my book open, to add, here and there, a note in shorthand with my own hand.

Samuel Pepys Diary, May 31st

The sad thing is that Pepys had another 38 years before he went blind, and what glorious diary entries have we missed because of his false fears of the effect of eye strain?

First published in 2022, updates 2023,  2024 and 2025

St Lucy: Festival of Light December 13th

St Lucy, by Francesco del Cossa (c. 1430 – c. 1477) (Wikipedia User:Postdlf)

I reposted my two posts on St Lucy, and the follow-up email on eye-care, on the appropriate days. But the email to subscribers was not sent. So here it is again. The name Lucy is from the same Latin origin (Lucidus) as lucent, lux, and lucid. It means to be bright, to shine or be clear. It is similar to the Ancient Greek λευκός (leukós, “white, blank, light, bright, clear”. Luke has the same origins (bright one, bringer of light and light of the sacred flame) and is very appropriate for the most literate of the evangelists.

St Lucy of Syracuse

St Lucy is from Syracuse in Sicily. She was a victim of the Diocletian Persecution of Christians in the early 4th Century. She is an authentic early martyr. But details of her story cannot be relied upon as true. She was a virgin, denounced as a Christian by her rejected suitor. Then, miraculously saved from serving in a brothel.; destruction by fire, but did not escape having her eyes gouged out. Finally, her throat was cut with a sword.

Her connection to light (and the eye gouging) makes her the protectress against eye disease. So she is depicted holding two eyes as you can see in the picture at the top of the page. Other symbols include a palm branch which represents martyrdom and victory over evil. Other symbols are lamp, dagger, sword or two oxen.

She appears in Dante’s Divine Comedy, as the messenger to Beatrice whose job is to get Virgil to help Dante explore Heaven, Hell and Heaven.

St. Aldhelm (died in 709) puts St Lucy in the list of the main venerated saints of the early English Church, confirmed by the Venerable Bede (died in 735). Her festival was an important celebration one in England. It was views ‘as a holy day of the second rank in which no work but tillage or the like was allowed’.

Dimming of the Light

This year is a glorious sunny St Lucy’s Day.  But, the afternoons soon dim. So, at this time of the year, we are in need of a festival with bright lights to cheer us up! And St Lucy’s Day is the beginning of the winter festival that culminates with the Solstice, where the old sun dies, and the new one is born. December the 13th was the Solstice until Pope Gregory reformed the Calendar in the 16th Century, as nine days were lopped off the year of transition.

Sankta Lucia in Sweden

The festival of Sankta Lucia is particularly popular in Sweden, where December 13th is thought to be the darkest night. In recent years, the Swedish community in the UK has had a service to Lucia in St Pauls. But the last couple of years has been in Westminster Cathedral.  This year on the 5th December.  And a Santa Lucia Carol Concert on 12 December at St Paul’s. But every year it has either been and gone or  sold out by the time I get around to thinking of going!

St Stephens Church by Christopher Wren (Photo K Flude) a rare view during building work.

I found out about Sankta Lucia from a Swedish choir who hired me to do a tour of the City of London some years ago. We went into Christopher Wren’s marvellous St Stephen’s Church.  Under the magnificent Dome, the choir fancied the acoustics and spontaneously sang. I recorded a snatch of it, which you can hear below

Swedish Choir singing in St Stephen’s London
St Stephens Church in the middle foreground of the photo. (Photo K Flude)

You can watch the Sankta Lucia service in Westminster Cathedral below:

The Importance of Light

Recent medical research has shown the importance of light, not only to our mental health but to our sleep health.  Work places need to have a decent light level with ‘blue light’ as a component of the lighting. It is also an excellent idea to help your circadian rhymes by going for a morning walk, or morning sun bathing, even on cloudy days. This will help you sleep better. And so St Lucy remains relevant as an inspiration

To see my post on Roman and Medieval eye care and St Lucy click this link.

First Posted on December 13th, 2022, updated on December 13th 2023, 2024 and 2025.