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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    central slough of the cornea, stained with nitrate of silver. There was marked sympathetic irritation of the other eye, so that enucleation was thought of, somewhat prevented by the patient’s weak condition. A solution of atropine, grs. iv. to 1 j., was applied to the eye several times a day, the patient kept quiet, and quinine given freely. Her general condition at once improved. By October 7th, the upper margin of the cornea was seen and the pupil behind, the anterior chamber existing. Ten days later, the symptoms were somewhat better; the light can now be more freely borne by the left eye, pre- viously extremely sensitive. She complains of neuralgic pain of peculiar character, “prickling,” and “stinging of bees.” The patient went home, a short distance from the city, in greatly improved bodily condition. November 5th, 1872, I saw her again. The last crust, from near the vertex, came off to-day, about two months from commencement of disease. The peculiar numbness com- plained of has now disappeared. There is, however, a differ- ence of sensation ; namely, a loss of it over the affected parts. There is still a redness and blush over the skin. The left eye is again more sensitive to light than wdien she went home. She attributes it to taking cold, that special day, in the cars. The globe does not present so much ciliary redness. More than half the size of the cornea, there is a circular, central crust, exactly the appearance of the incrustation round the mouth and stopper of a vial long used for solution of arg. nit. It has a dry, dull, metallic lustre, and quite opaque, and looks as if the sloughing substance of the cornea had united with the silver. Above, there is a clear enough ring of the cornea for the patient to count fingers through. There is some anterior chamber, but the aqueous evidently drains through this silver crust. November 22d, 1872, eleven weeks after the commence- ment of the attack, I again saw the patient, who still com- plains of some soreness over the scalp and eyebrow. This soreness is growing less. She repeats, it is not pain, but “ sore- ness in the skin.” There is yet a blush over the surface. The left, unaffected eye she can use better. The right has darting pains. The cornea looks worse than November 5th, as if