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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    November 5th, five months after the operation. He stated that his eyes no longer troubled him in the morn- ing, and that he could read several hours in the evening without any discomfort. In the past two years I examined and treated more than two hundred cases, in which I referred the ocular symptoms to nasal disease. The treatment adopted for the cure of the nasal affec- tion differed with the character of the pathological changes. Thus, in simple catarrh of the nasal mucous membrane astringents were employed, while in the hy- pertrophic and the obstructive forms of disease the cau- tery, the snare, the knife, the punch were resorted to. The treatment was not uniformly successful. A number of patients, terrified by the novelty of the procedure, did not return. Many observations were therefore incom- plete, but a sufficient number—a series of 150 patients— remained long enough under treatment and observation to allow the formulation of definite conclusions as to the correlation of ocular symptoms and nasal affections. The cases here presented have the following features in common: 1. Burning and smarting sensation of the lids or of the eyes, more pronounced in the morning than in daytime. 2. Inability to fix an object in ordinary daylight. 3. Increased vascularity of the conjunctiva, and lach- rymation upon slight provocation, such as a mild current of air. 4. Sound condition of the eyes and their appendages. 5. Inefficiency of the ocular and the general treat- ment. 6. Efficiency of the nasal treatment in spite of the ab- sence of nasal symptoms.