Karl Koller (ophthalmologist)
Encyclopedia
Karl Koller was an Austrian ophthalmologist who began his medical career as a surgeon at the Vienna
Vienna
Vienna is the capital and largest city of the Republic of Austria and one of the nine states of Austria. Vienna is Austria's primary city, with a population of about 1.723 million , and is by far the largest city in Austria, as well as its cultural, economic, and political centre...

 General Hospital, and was a colleague of Sigmund Freud
Sigmund Freud
Sigmund Freud , born Sigismund Schlomo Freud , was an Austrian neurologist who founded the discipline of psychoanalysis...

.

Koller introduced cocaine
Cocaine
Cocaine is a crystalline tropane alkaloid that is obtained from the leaves of the coca plant. The name comes from "coca" in addition to the alkaloid suffix -ine, forming cocaine. It is a stimulant of the central nervous system, an appetite suppressant, and a topical anesthetic...

 as a local anaesthetic for eye surgery. Prior to this discovery, he had tested solutions such as chloral hydrate
Chloral hydrate
Chloral hydrate is a sedative and hypnotic drug as well as a chemical reagent and precursor. The name chloral hydrate indicates that it is formed from chloral by the addition of one molecule of water. Its chemical formula is C2H3Cl3O2....

 and morphine
Morphine
Morphine is a potent opiate analgesic medication and is considered to be the prototypical opioid. It was first isolated in 1804 by Friedrich Sertürner, first distributed by same in 1817, and first commercially sold by Merck in 1827, which at the time was a single small chemists' shop. It was more...

 as anaesthetics in the eyes of laboratory animals without success. Freud was fully aware of the pain-killing properties of cocaine, but Koller recognized its tissue-numbing capabilities, and in 1884 demonstrated its potential as a local anaesthetic to the medical community. Koller's findings were a medical breakthrough. Prior to his discovery, performing eye surgery
Eye surgery
Eye surgery, also known as orogolomistician surgery or ocular surgery, is surgery performed on the eye or its adnexa, typically by an ophthalmologist.-Preparation and precautions:...

 was difficult because the involuntary reflex motions of the eye to respond to the slightest stimuli. Later, cocaine was also used as a local anaesthetic in other medical fields such as dentistry
Dentistry
Dentistry is the branch of medicine that is involved in the study, diagnosis, prevention, and treatment of diseases, disorders and conditions of the oral cavity, maxillofacial area and the adjacent and associated structures and their impact on the human body. Dentistry is widely considered...

. In the 20th century, other agents such as Xylocaine have replaced cocaine as a local anaesthetic.

In 1888, Karl Koller moved to the United States and practiced ophthalmology
Ophthalmology
Ophthalmology is the branch of medicine that deals with the anatomy, physiology and diseases of the eye. An ophthalmologist is a specialist in medical and surgical eye problems...

 in New York. He received many distinctions in his career, including being honored by the American Ophthalmological Society as the first recipient of the "Lucien Howe
Lucien Howe
Lucien Howe was an American physician who spent much of his career as a professor of ophthalmology at the University of Buffalo. In 1876 he was instrumental in the creation of the Buffalo Eye and Ear Infirmary....

 Medal" in 1922. This award is given to physicians in recognition of outstanding achievements in ophthalmology. In 1930 he was also honored by the Medical Association of Vienna.

One of Koller's patients was a blind ten-year-old boy named Chauncey Leake
Chauncey D. Leake
Chauncey Depew Leake was an American pharmacologist, medical historian and ethicist. Leake received a bachelor’s degree with majors in biology, chemistry, and philosophy from Princeton University....

. Leake recovered his sight and later discovered the anaesthetic divinyl ether.

Koller was reputedly nicknamed "Coca Koller" for his association with the drug and although he was implored to recognise his status as a public figure due to his discovery of local anaesthesia, he did not engage in autobiography.

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