John Zachariah Laurence
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John Zachariah Laurence (1829 – 18 July 1870) was an English ophthalmologist who practiced medicine in London. He was the founder of the South London Ophthalmic Hospital in 1857, later to become known as the Royal Eye Hospital. He was born into a middle-class Jewish family, his great-grandfather moving from Bohemia.Emma Klein, ''Lost Jews: The Struggle for Identity Today'', Springer (2016), p. 25 With Jabez Spence Ramskill (1824–1897) the first physician, Charles Edouard Brown-Séquard, William Fergusson, Surgeon Extraordinary to Queen Victoria, Laurence was one of only four medical staff who founded the Hospital for the Paralysed and Epileptic at Queen (now the National Hospital) in 1860.(Pearce JMS. John Zachariah Laurence: 'forgotten luminary' ''Advances in Clinical Neuroscience and Rehabilitation'' 2019.) In 1864 he became founder and editor of the ''Ophthalmic Review'', the first British journal devoted to ophthalmology. Also, he is credited for promoting usage of 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 ...
in England. In 1866 he described a syndrome of
retinitis pigmentosa Retinitis pigmentosa (RP) is a genetic disorder of the eyes that causes loss of vision. Symptoms include trouble seeing at night and decreasing peripheral vision (side and upper or lower visual field). As peripheral vision worsens, people may ...
, loss of vision progressing to blindness, mental retardation, stunted stature and
hypogonadism Hypogonadism means diminished functional activity of the gonads—the testes or the ovaries—that may result in diminished production of sex hormones. Low androgen (e.g., testosterone) levels are referred to as hypoandrogenism and low estroge ...
. This disease would become known as the
Laurence–Moon syndrome Laurence–Moon syndrome (LMS) is a rare autosomal recessive genetic disorder associated with retinitis pigmentosa, spastic paraplegia, and mental disabilities. Signs and symptoms Intellectual disability, hexadactyly, central diabetes insipidus, b ...
, named along with his colleague Robert Charles Moon. Laurence was a man of great gifts and versatility, a philanthropist, and a pioneer of new ideas. He was also a fine linguist, and was deeply interested in the Arts. For reasons uncertain his work was undervalued as Arnold Sorsby's (1900–1980) belated obituary reveals: Laurence was well and truly interred by his contemporaries. They had come to bury Caesar not to praise him. Eleven years later the existence of an Ophthalmic Review that he had founded and edited for nearly, four years (1864–7) but which had not survived longer than that, was not mentioned by its new editors.(Sorsby A. John Zachariah Laurence- a belated tribute. Brit J Ophthalmic 1932;16(11):727–40.) He was described as: "A scholarly and wise man, and his intelligence and versatility served the hospital well at its inception. He may have helped to introduce the ophthalmoscope developed by Hermann von Helmholtz (1851) at Queen Square.2(p .363) His name remains only in the rare, eponymous Laurence-Moon-Biedl syndrome.


Selected writings

* "The Sensibility of the Eye to Colour", 1861. *''The diagnosis of Surgical Cancer'' (which won the Lister Prize) London, 1855. *''The optical defects of the Eye''. London, 1865. * ''Handbook of Ophthalmic Surgery for the Use of Practitioners''; written with Robert C. Moon. London, Robert Hardwicke, 1 January 1866.


References

*Sorsby A. John Zachariah Laurence- a belated tribute. ''Brit J Ophthalm'' 1932;16(11):727–40. *Pearce JMS. John Zachariah Laurence: 'forgotten luminary' ''Advances in Clinical Neuroscience and Rehabilitation'' 2019.
''John Zachariah Laurence''
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{{DEFAULTSORT:Laurence, John Zachariah 1829 births 1870 deaths Medical doctors from London British ophthalmologists British Jews British people of Czech-Jewish descent 19th-century English medical doctors