Clinical notes of cases of neuralgia in connection with troubles of the accommodation of the eye / by Geo. T. Stevens.

  • Stevens, George T. (George Thomas), 1832-1921.
Date:
1877
Catalogue details

Licence: Public Domain Mark

Credit: Clinical notes of cases of neuralgia in connection with troubles of the accommodation of the eye / by Geo. T. Stevens. 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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    the period of the attack he is absolutely unfitted for work, and is generally confined to his bed day and night until it passes over. Plas submitted to a variety of treatments, but has experienced little relief from any. He has strabismus, the right eye having a decided cast. Sight of that eye, 7^. Sight of left, In left eye there is a manifest hypermetropia of 3^- [I * afterwards found total hypermetropia t^.] My first impulse was to inject morphia beneath the skin of the painful part; my second, to relieve the ciliary muscle of its tension. I accordingly dropped a few drops of solution of atropia into the left eye, and directed him to call again in two hours. He did so; the pain had entirely subsided, and did not re- turn. Nearly two months later, however, he presented himself with a new attack. The first application of the atropia only partially relieved him, but the pain yielded to a second application made the following morning. Mrs. M. H., aged 44, was for ten years a sufferer from neuralgia, with extreme nervous irritability and mental depression. The neuralgic pains, which were for the most part located in the vicinity of the seventh cervical vertebra, extending upward towards the hair, and at times towards and into the shoulders or down the back, were of a burning, continuous, and extreme- ly violent character. Accompanying these pains was an habitual cutaneous anaesthesia of the hands and ' arms.