Reflex ocular symptoms in nasal affections / by E. Gruening.

  • Gruening, Emil.
Date:
[1896]
Catalogue details

Licence: Public Domain Mark

Credit: Reflex ocular symptoms in nasal affections / by E. Gruening. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    pertrophic swelling of the corpora cavernosa of the tur- binated bone. This swelling may be found at the ante- rior or posterior portions of the lower turbinated bones, on the lower edge of the middle turbinated bones. In other cases we have to deal with a stenosis of the nasal passages due to a variety of causes, a combination of hypertrophy of the erectile tissue, cartilaginous excres- cences from, and deviations of, the septum. These are the elements with which we must cope in the successful treatment of the reflex ocular symptoms. A few clinical observations may serve to illustrate the class of cases in which extensive pathological altera- tions of the nose gave rise to reflex ocular symptoms, but caused no subjective nasal trouble. Case I.—G. j , twenty-six years of age, is a polisher of metals. In the past six years he has been greatly troubled by the bright reflexes of metallic sur- faces, so much so, that he was obliged to discontinue his work many weeks. Whenever he fixes any object in ordinary daylight, his eyes begin to water. He has been treated with astringents, electricity, internal reme- dies, chiefly quinine, and absolute repose in a dark room He never derived benefit from any mode of treatment. His eyes are sound, the refraction is emmetropic, the vision normal, the conjunctiva more vascular than usua], the lachrymal apparatus apparently in good condition. The examination of the nose shows that his mucous membrane is of a bright red color and thickened over the right lower and middle turbinated bones. In spite of this thickening the right side of the nose is spacious, and the turbinated bones are nowhere in contact with the septum. The left side of the nose presents a stenosis, especially of the lower meatus, where a ridge of cartilage, running from the septum to the inferior turbinated bone, and coalescing with the latter, forms a bridge-like connection. Instillations of two and three per cent, solutions of ni- trate of silver into the nose, and the application of