Charles Dickens, trachoma, and blindness in pre-Victorian England

Surv Ophthalmol. 2018 Mar-Apr;63(2):275-280. doi: 10.1016/j.survophthal.2017.10.004. Epub 2017 Oct 19.

Abstract

In the early 1820s, a Yorkshire boarding school was devastated by an outbreak of blinding ophthalmia. The cause of the epidemic was-in all likelihood-trachoma, then known as Egyptian ophthalmia. The headmaster of the Yorkshire school, William Shaw, was sued for gross negligence by 2 families whose sons went blind during the outbreak. The epidemic and trial would play a role in creating one of the literature's most notorious fictional characters. Eighteen years after the trial, Charles Dickens modeled the vile schoolmaster Wackford Squeers in Nicholas Nickleby after Shaw, whose reputation and career would later be ruined by his thinly disguised portrayal in the novel. The original boarding school epidemic took place while London's first eye hospital was moving to Lower Moorfields, an institution that 17 years earlier was established primarily to cope with Egyptian ophthalmia. We explore trachoma's wide-ranging impact on pre-Victorian England, from inspiring an enduring literary villain to the creation of a renowned eye hospital.

Keywords: Charles Dickens; Egyptian ophthalmia; Moorfield Eye Hospital; Nicholas Nickleby; Wackford Squeers; trachoma.

Publication types

  • Biography
  • Historical Article
  • Portrait

MeSH terms

  • Blindness / etiology
  • Blindness / history*
  • England
  • Famous Persons*
  • History, 19th Century
  • Humans
  • Medicine in Literature*
  • Trachoma / complications
  • Trachoma / history*

Personal name as subject

  • Charles Dickens