White sarcomatous intra-ocular tumor : enucleation : [and 3 other papers] / by B. Joy Jeffries.

  • Jeffries, B. Joy (Benjamin Joy), 1833-1915.
Date:
[1873]
Catalogue details

Licence: Public Domain Mark

Credit: White sarcomatous intra-ocular tumor : enucleation : [and 3 other papers] / by B. Joy Jeffries. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    \ / WHITE SARCOMATOUS INTRA-OCULAR [TUMOR. ENUCLEATION. By B. Joy Jeffries, M.I)., Boston, Mass. February 5th, 1873, a woman, aged 40, applied to me, having Y.O.D.=f*. Y.O.S. Jager No. 16, with some portions of the field. At twenty feet can see my arm or hand moving over some parts of the retina. The visual field was taken on the register. Ophthalmoscopic examination shows a pinkish nerve and clear media. From close against the nerve, up and in, is a growth pushing forward, the retinal vessels running smoothly over it. The end against the nerve is oval. The whole, as seen, seems the size of a small almond. It has a whitish-gray color. Only within a week, the patient says she has noticed her present loss of sight; but, upon close question- ing, her vision in this left eye has failed for some months back. There is no pain in the eye, but, as she expresses it, a sensa- tion of “ heaviness” and “ fatigue.” The patient did not exhibit anv other sign of morbid growth. The tumor was de- cided to be most probably sarcoma, and an enucleation strong- ly advised. This was finally consented to and done under ether, February 19th, 1873. To satisfy the friends of the exist- ence of a tumor, the globe was necessarily opened at once. The vitreous was of normal consistency, but had a yellowish tinge. The retina became readily detached from over the tumor, with retina] pigment adhering to it. The tumor was of the size above mentioned. The specimen was put in Muller’s fluid till March 13th, 1873, when it was again carefully exam- ined, and all the internal structures found good. The growth was not wholly attached to the sclerotic. The line of demar- kation was also perfectly distinct. It belonged to and occupied