Clinical notes on nerve disorders in surgical practice / by George Wherry.

  • Wherry, George, 1852-1928.
Date:
1891
Catalogue details

Licence: Public Domain Mark

Credit: Clinical notes on nerve disorders in surgical practice / by George Wherry. 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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    The left eye is still preferred for near work and in walking. There is dizziness in using the right eye for distance, but little error in projection.” Again, in ten days ; “ Pupils act to light, and with effort convergence and single vision is possible.” After a fortnight: “ The convergence is nearly re-established ; can now read and write with both eyes used together, if tired slight diplopia; difficulty in looking askance to the right with- out diplopia.” The symptoms finally passed away in a few days from this dtite, about eight weeks since the onset of the disorder, the parageusia having lasted acutely during five days. The evidence as to bis accommodation being used is that with either eye at nine inches the patient could read J1 using the spectacles to which he was accustomed, namely (with the usual notation)— Rt. -f- 1*75 D sph.^cyb + O o D | vertical Lt. -t- 2‘25 D sph.^cyl. + O'o DX40° up and out. With these glasses at the onset the eyes were used together, until when convergence was not possible one eye was used with the other shaded. A good deal of literary work was done throughout the attack. There was at no time any difficulty in reading and writing. In the treatment of this case attention was paid to diet and regimen; butcher’s meat and alcohol sparingly jDermitted, all exciting work forbidden. Mid-day sleep obtained. Iodide of potassium beginning with 30 gi'ains daily, soon pushed to 90 grains daily, seemed to be the means of relief and restoration. The patient had had syphilis twenty-five years before this attack, has had good health himself since, and has three healthy children without any evidence of heredity as regards syphilis. Some weeks after this record, when all ocular symptoms had passed away, I was sent for on account of a severe pain in the right supra-scapular region made worse by movements; having suffered a good deal at night with it, he had obtained relief by lying on that shoulder. There was nothing objective to be discovered after careful examination, and the patient passed a