Ophthalmic Review Volume 3; A Record of Ophthalmic Science (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1884 Excerpt: ...were disturbances over a perfectly circular area extending from the optic disc to beyond the macula lutea. The patient's vision when first tested was only J. 20, but on March 31st was J. 1 and fg. There was no history of blow or any illness except that the patient was liable to attacks of rheumatic gout (probably true gout). The urine and heart were normal. The patient stated that for the last two years he had been subject to bleeding from the right nostril once or twice a week, but that this had ceased from the time his sight became defective until two days previous to his vision being found normal, a period of about three months. The President observed that it seemed clear that the patient had suffered from true gout, and haemorrhages were not infrequent complications of that disease. Mr. Nettleship thought that the haemorrhages were probably due to disease of some of the larger retinal vessels. He had heard no explanation of the circular distribution of the haemorrhage, and suggested that the anatomical structure might account for it. Mr. Adams Frost observed that the circular shape might have become subsequently altered by absorption. The President said that in cases of retinitis haemorrhagica in gout, the haemorrhages were usually not circular. Card Specimens.--Mr. Adams Frost: Detachment of the retina, with organised blood-clot. Detachment of retina and choroid by blood. Detachment of retina; globe filled 'with organised blood-clot. Mr. Jennings Milles: Microscopical specimens from (1) ciliary staphyloma and irido-cyclitis, (2) fibrous growth in the vitreous in a case of chronic glaucoma. Mr. Lang: New vessels on a fibrous growth in the vitreous in a chronic glaucomatous eye. Mr. Morton showed a drawing of this case, and Mr. Milles a microscopic speci...