Andreas Anagnostakis
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Andreas Anagnostakis (Ανδρέας Αναγνωστάκης; 11 August 1826 — 27 March 1897) was a
Greek Greek may refer to: Greece Anything of, from, or related to Greece, a country in Southern Europe: *Greeks, an ethnic group. *Greek language, a branch of the Indo-European language family. **Proto-Greek language, the assumed last common ancestor ...
ophthalmologist Ophthalmology ( ) is a surgery, surgical subspecialty within medicine that deals with the diagnosis and treatment of eye disorders. An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care. Followin ...
, physician, and educator. He is best known for inventing the
ophthalmoscope Ophthalmoscopy, also called funduscopy, is a test that allows a health professional to see inside the fundus of the eye and other structures using an ophthalmoscope (or funduscope). It is done as part of an eye examination and may be done as part ...
, a handheld tool used in diagnostics and still relevant today. He is credited as the first ophthalmologist in Greece.


Biography


Early life

Anagostakis was born 11 August 1826 on the Greek island of
Antikythera Antikythera or Anticythera ( ) is a Greek island lying on the edge of the Aegean Sea, between Crete and Peloponnese. In antiquity the island was known as (). Since the 2011 local government reform it is part of the municipality of Kythira islan ...
. His parents were from the village of Anopolis in
Sfakia Sfakiá ( el, Σφακιά) is a mountainous area in the southwestern part of the island of Crete, in the Chania regional unit. It is considered to be one of the few places in Greece that have never been fully occupied by foreign powers. With a ...
,
Crete Crete ( el, Κρήτη, translit=, Modern: , Ancient: ) is the largest and most populous of the Greek islands, the 88th largest island in the world and the fifth largest island in the Mediterranean Sea, after Sicily, Sardinia, Cyprus, and ...
and possibly from one of the original founding Sfakiote families. They fled
Cretan Turks The Cretan Muslims ( el, Τουρκοκρητικοί or , or ; tr, Giritli, , or ; ar, أتراك كريت) or Cretan Turks were the Muslim inhabitants of the island of Crete. Their descendants settled principally in Turkey, the Dodecanese ...
on the island and settled in Syra, where Andreas attended school. He later went to the Medical School at the
University of Athens The National and Kapodistrian University of Athens (NKUA; el, Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών, ''Ethnikó ke Kapodistriakó Panepistímio Athinón''), usually referred to simply as the Univers ...
, then continued his studies, funded by
Queen Amalia Amalia of Oldenburg (; 21 December 181820 May 1875) was a Kingdom of Bavaria, Bavarian princess who became Queen of Greece from 1836 to 1862 as the wife of King Otto of Greece, Otto Friedrich Ludwig. She was loved widely by the Greeks due to ...
, in
Vienna en, Viennese , iso_code = AT-9 , registration_plate = W , postal_code_type = Postal code , postal_code = , timezone = CET , utc_offset = +1 , timezone_DST ...
,
Berlin Berlin ( , ) is the capital and largest city of Germany by both area and population. Its 3.7 million inhabitants make it the European Union's most populous city, according to population within city limits. One of Germany's sixteen constitue ...
, and
Paris Paris () is the capital and most populous city of France, with an estimated population of 2,165,423 residents in 2019 in an area of more than 105 km² (41 sq mi), making it the 30th most densely populated city in the world in 2020. S ...
. He graduated from Athens in 1849 with his doctorate in medicine. He was initially a general physician before deciding to specialize in ophthalmology.


Career

While studying in France, he came up with the idea to add a concave mirror to ophthalmoscopes previously suggested by
Hermann von Helmholtz Hermann Ludwig Ferdinand von Helmholtz (31 August 1821 – 8 September 1894) was a German physicist and physician who made significant contributions in several scientific fields, particularly hydrodynamic stability. The Helmholtz Association, ...
, Theodor Ruete,
Eugène Follin François Anthyme Eugène Follin (25 November 1823, Harfleur – 21 May 1867) was a French surgeon and ophthalmologist. He studied medicine in Paris, becoming an interne in 1845, followed by positions as aide of anatomy (1847) and prosector ...
, Cocius, William Cumming,
Charles Babbage Charles Babbage (; 26 December 1791 – 18 October 1871) was an English polymath. A mathematician, philosopher, inventor and mechanical engineer, Babbage originated the concept of a digital programmable computer. Babbage is considered ...
, and Eduard Jäger. The idea for his improvements to the ophthalmoloscope were inspired by ancient Greek writings, for example "the basic law governing the reflection of light when the reflected ray lies in the plane of incidents of the incident ray, the knowledge of the focus and the straight lines under which the objects reflected in flat and spherical mirrors are seen." He further developed the idea of a handheld tool in London;
Richard Liebreich Richard Liebreich (30 June 1830 – 19 January 1917) was a German ophthalmologist and physiologist who was a native of Königsberg. He was of Jewish ancestry. In 1853 he earned his doctorate at Halle, and from 1854 until 1862 was an assistant t ...
developed the model. Anagostakis decreased the size of Ruete's ophthalmoscope and added a 5 cm concave mirror "with a focal distance of 4.5 inches" and a 4mm hole in the center. He recommended the addition of a convex lens, as Louis-Auguste Desmarres used, to flip the image from the mirror. Anagnostakis used the ophthalmoscope in his clinical work before presenting it at the first-ever Ophthalmological Conference in
Brussels Brussels (french: Bruxelles or ; nl, Brussel ), officially the Brussels-Capital Region (All text and all but one graphic show the English name as Brussels-Capital Region.) (french: link=no, Région de Bruxelles-Capitale; nl, link=no, Bruss ...
in 1857. In 1915, after Anagostakis' death, William Noah Allyn and Frederick Welch (of
Welch Allyn Welch Allyn, Inc. is an American manufacturer of medical devices and patient monitoring systems. Headquartered in Skaneateles Falls, New York, it was family-owned until it was acquired in 2015 by Hillrom. Hillrom was purchased by Baxter Internati ...
) built upon his work by adding direct illumination to the handheld device; their version was a step closer to what we use today. After the initial development of the ophthalmoscope, he returned to Greece and became the director of Ophthalmiatreion, a new eye hospital; he held this a position for 41 years until his death. He also became an associate professor of ophthalmology and
otology Otology is a branch of medicine which studies normal and pathological anatomy and physiology of the ear (hearing and vestibular sensory systems and related structures and functions) as well as their diseases, diagnosis and treatment. Otologic ...
at the University of Athens in 1854 before become a full professor in 1856. He is considered the first ophthalmology professor in Greece.
Alexios Trantas Alexios Trantas (March 1867 – 1960) was a Greek ophthalmologist born in Vourbiani, Epirus. In 1891 he obtained his doctorate in Athens, continuing his education in Paris under Photinos Panas (1832-1903), Louis de Wecker (1832-1906) and Xavier ...
studied under him during his time at the university. Anagnostakis served as the president of the University of Athens in 1877 and was twice the dean of the Medical School, once in 1868 and again in 1873. Anagnostakis collaborated with physicians all over the world. In 1853, he worked with his former professor Desmarres.) In 1867, he returned to Berlin to learn about
cataract surgery Cataract surgery, also called lens replacement surgery, is the removal of the natural lens of the eye (also called "crystalline lens") that has developed an opacification, which is referred to as a cataract, and its replacement with an intraocu ...
techniques from
Albrecht von Graefe Albrecht von Graefe may refer to: * Albrecht von Graefe (ophthalmologist) (1828-1870), Prussian opthalmologist * Albrecht von Graefe (politician) Albrecht von Graefe (1 January 1868 – 18 April 1933) was a German landowner and right-wing ...
, his collaborator and former professor. He also helped
Helmholtz Hermann Ludwig Ferdinand von Helmholtz (31 August 1821 – 8 September 1894) was a German physicist and physician who made significant contributions in several scientific fields, particularly hydrodynamic stability. The Helmholtz Association, ...
with the first version of the ophthalmoloscope. He pioneered treatments and surgical methods for
entropion Entropion is a medical condition in which the eyelid (usually the lower lid) folds inward. It is very uncomfortable, as the eyelashes continuously rub against the cornea causing irritation. Entropion is usually caused by genetic factors. This is d ...
; this method is referred to as the Hotz-Anagnostaki Operation. Ferdinand Carl Hotz describes it as: "A transverse incision from
canthus The canthus (pl. canthi, palpebral commissures) is either corner of the eye where the upper and lower eyelids meet. More specifically, the inner and outer canthi are, respectively, the medial and lateral ends/angles of the palpebral fissure. Th ...
to canthus is made through the skin and subjacent tissues, but instead of being made near and parallel with the free border (as in former methods), the incision in this operation is to follow the upper border of the tarsus." Outside of his clinical work, Anagnostakis greatly enjoyed ancient Greek literature and poetry. In 1889, he was asked to judge a theatre competition; in 1896, he translated '' Maria Stuart'' by playwright
Friedrich Schiller Johann Christoph Friedrich von Schiller (, short: ; 10 November 17599 May 1805) was a German playwright, poet, and philosopher. During the last seventeen years of his life (1788–1805), Schiller developed a productive, if complicated, friends ...
. He served as president of the first and second Panhellenic Medical Congress (1882 and 1885, respectively); was director for a medical journal; served as editor for the magazine ''Asklipios''; and collaborated on the medical journal ''Annales D'oculitistique''. He wrote extensively as well, including a 7-volume book called ''The History of Ophthalmology''. In ''The Medicine of Aristophanes'' (1891), he explored the medical subjects mentioned in Aristophanes' plays, and looked at how
Hippocrates Hippocrates of Kos (; grc-gre, Ἱπποκράτης ὁ Κῷος, Hippokrátēs ho Kôios; ), also known as Hippocrates II, was a Greek physician of the classical period who is considered one of the most outstanding figures in the history of ...
,
Galen Aelius Galenus or Claudius Galenus ( el, Κλαύδιος Γαληνός; September 129 – c. AD 216), often Anglicized as Galen () or Galen of Pergamon, was a Greek physician, surgeon and philosopher in the Roman Empire. Considered to be one of ...
, and
Paul of Aegina Paul of Aegina or Paulus Aegineta ( el, Παῦλος Αἰγινήτης; Aegina, ) was a 7th-century Byzantine Greek physician best known for writing the medical encyclopedia ''Medical Compendium in Seven Books.'' He is considered the “Father ...
talked about
asepsis Asepsis is the state of being free from disease-causing micro-organisms (such as pathogenic bacteria, viruses, pathogenic fungi, and parasites). There are two categories of asepsis: medical and surgical. The modern day notion of asepsis is deriv ...
and
antisepsis An antiseptic (from Greek ἀντί ''anti'', "against" and σηπτικός ''sēptikos'', "putrefactive") is an antimicrobial substance or compound that is applied to living tissue/skin to reduce the possibility of infection, sepsis, or putre ...
in his 1889 book ''The Antiseptic Methods of the Ancients''. Other books and studies include ''Ophthalmoscope Anagostaki'' (1854), ''Examination of Retina Exploration and Oil Flow by Means of a New Ophthalmoscope'' (1854), ''Ophthalmology in Greece and Egypt'' (1856), ''On Entrophy and Hair Surgery'' (1857), ''The Inventor of Magnifiers'' (1873), and ''About the Greek Origin of Convex Lenses.'' Anagnostakis died in Athens on 27 March 1897. In 1994, the Hellenic Glaucoma Society began annually awarding the Medal of Honor and Value A. Anagnostaki — A. Tranta, named after him and his student
Alexios Trantas Alexios Trantas (March 1867 – 1960) was a Greek ophthalmologist born in Vourbiani, Epirus. In 1891 he obtained his doctorate in Athens, continuing his education in Paris under Photinos Panas (1832-1903), Louis de Wecker (1832-1906) and Xavier ...
, to ophthalmologists contributing to glaucoma research. There is also a commemorative bust of him in Markopoulou Square near
Chania Chania ( el, Χανιά ; vec, La Canea), also spelled Hania, is a city in Greece and the capital of the Chania regional unit. It lies along the north west coast of the island Crete, about west of Rethymno and west of Heraklion. The muni ...
that incorrectly lists his lifespan as 1896—1897, rather than 1826—1897.


External links


Diagnostic Tests OP-OXMuseum of Medical History: Ophthalmology


References

{{DEFAULTSORT:Anagnostakis, Andreas 1826 births 1897 deaths People from Antikythira National and Kapodistrian University of Athens alumni Academic staff of the National and Kapodistrian University of Athens Rectors of the National and Kapodistrian University of Athens Greek inventors Greek ophthalmologists 19th-century Greek physicians 19th-century Greek scientists