A manual and atlas of medical ophthalmoscopy / by W.R. Gowers.

  • Gowers, W. R. (William Richard), 1845-1915.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: A manual and atlas of medical ophthalmoscopy / by W.R. Gowers. Source: Wellcome Collection.

    353/392 (page 319)
    f 1>ESCR1PTI0N OF PLATES. 319 PLATE IX. Fig. 1.—Haemorrhage on optic disc in a case of renal diaease, arteria^ disease, and acute cerebral lesion. Right eye. The optic disc is otherwise normal; the central cup distinct, narrow but deep; the arteries and veins of normal size. On the temporal side of the disc is a small extravasation, striated, extending on the retina about a disc's breadth. It has apparently arisen from the ruptiu'e of a small vessel, which can be traced to, but not beyond, the haemorrhage. It had given rise to no symptoms. Fig. 2.—Neuritis albuminurica. Right optic disc of a man suffering from chronic renal disease, convulsions, and mental derangement. The disc presents the signs of slight but distinct neuritis. Its outline can be nowhere seen; there is slight swelling; the tint of the papilla is red, and the redness is striated. Many small vessels radiate from it on to the retina—more than is common in neuritis. The veins are rather large. The arteries are very narrow—not more than one-half the diameter of the veins. One small haemorrhage exists on the temporal (left) edge of the disc. On the surface of tlie papilla are several white spots, irregular in shape. One is situated over an artery, another near the middle of the disc, and one near the lower edge. One small soft whitish spot can be seen on the retina near a vessel above the disc, but this is the only trace of retinal affection. (There were no spots near the macula lutea.) Vision: No. 12 Jager, Fig. 3.—Albuminuric neuritis in a man suffering from chronic renal disease {granular kidney), intense headache, and ivho died shortly after- wards of ursemia. Right eye. The disc is concealed by a considerable greyish-red swelling, stippled and striated. The veins are concealed at their point of emergence, curve over the prominence, and are again concealed at its edge. Beyond, they have a normal course and size upon the retina. The arteries, Avhere visible upon the papilla, are a little below the normal size; but beyond, upon the retina, they are much smaller than normal, some being scarcely visible as mere lines, and two cannot be detected beyond the edge of the papilla. There are a few very minute shining white spots upon the centre of the swelling • between it and the macula are several white flecks, and close to the macula a few radiating dots and lines are arranged in a fan-like form. Vision: reads No. 6 Jager. (See p. 98.) Fig. 4.—Subsiding albuminuric neuritis. The fundus of a patient .mffering from chronic Bright's disease {probably granular kidney), with a pulse of very high tension. The papilla is sUghtly prominent, greyish-white, the edges of the disc being concealed by it. The veins are narrow and the arteries extremely small, recognizable only in narrow lines. One or two small extra- vasations are seen near the disc, and farther off are several small col- lections of pigment, probably the remains of former extravasations.