Andreas Anagnostakis
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Andreas Anagnostakis (Ανδρέας Αναγνωστάκης; 11 August 1826 — 27 March 1897) was a Greek ophthalmologist, physician, and educator. He is best known for inventing the ophthalmoscope, 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 isla ...
. His parents were from the village of Anopolis in Sfakia,
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 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
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, where Andreas attended school. He later went to the Medical School at the University of Athens, then continued his studies, funded by
Queen Amalia Amalia of Oldenburg (; 21 December 181820 May 1875) was a Bavarian princess who became Queen of Greece from 1836 to 1862 as the wife of King Otto Friedrich Ludwig. She was loved widely by the Greeks due to her patriotic love for the country ...
, in
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,
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 constitu ...
, 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. Si ...
. 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 Associat ...
, 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 prosecto ...
, Cocius, William Cumming, Charles Babbage, 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 Louis-Auguste Desmarres (September 22, 1810 – August 22, 1882) was a French ophthalmologist born in Évreux, Eure. Background After obtaining his medical degree he became an assistant to Frédéric Jules Sichel (1802–1868) in Paris. He ...
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 Interna ...
) 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 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 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 techniques from Albrecht von Graefe, his collaborator and former professor. He also helped Helmholtz with the first version of the ophthalmoloscope. He pioneered treatments and surgical methods for entropion; this method is referred to as the Hotz-Anagnostaki Operation. Ferdinand Carl Hotz describes it as: "A transverse incision from canthus 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. 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 o ...
, Galen, and Paul of Aegina talked about asepsis 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 pu ...
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, to ophthalmologists contributing to glaucoma research. There is also a commemorative bust of him in Markopoulou Square near Chania 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