Clinical and histological study of a melanotic sarcoma of the choroid : with recurrence of the growth in the orbit five months after enucleation of the eyeball and one extra-scleral mass / by G. E. de Schweinitz and J. Dutton Steele.

  • De Schweinitz, G. E. (George Edmund), 1858-1938.
Date:
[1900]
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Licence: In copyright

Credit: Clinical and histological study of a melanotic sarcoma of the choroid : with recurrence of the growth in the orbit five months after enucleation of the eyeball and one extra-scleral mass / by G. E. de Schweinitz and J. Dutton Steele. Source: Wellcome Collection.

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    CLINICAL AND HISTOLOGICAL STUDYOF A MELANOTIC SARCOMA OF THE CHOROID, WITH RECURRENCE OF THE GROWTH IN THE ORBIT FIVE MONTHS AFTER ENUCLEATION OF THE EYEBALL AND ONE EXTRA-SCLERAL MASS* BY G. E. DE SCHWEINITZ, A.M., M.D., and J. BUTTON STEELE, M.D. PHILADELPHIA. Illustrated. Certain interesting features attach themselves to the clinical history of this case of sarcoma of the choroid, which we desire to relate in connec- tion with a description of the macroscopic and microscopic specimens. Herman S., aged 36, a butcher, presented himself for treatment to one of us (Dr. de Schweinitz) on the loth of May, 1899. History.—There is nothing of importance in the patient's general clin- ical history, nor in that of his family. At the age of six he acquired convergent strabismus, and the defective vision associated with that con- dition was noted. There is no history of injury to his eye and none of mor- bid growth in the patient's immediate family. Five years ago he consulted an ophthalmic surgeon, and was told that there was a growth in his left eye and that the eyeball ought to be enucleated. He declined to follow this advice, and also similar advice given about three years later, /. e., on the 14th of August, 1897. It is probable that at both of these examina- tions the media were still clear, and that the growth was visible to the ophthalmoscope. He was driven to seek help in May, 1899, on account of severe pain, which had been growing worse during the past year. Examination.—The vision of the right eye, after the correction of a high hypermetropia, was 6/9. The optic disc was congested. There was faint perivasculitis and slight superficial choroidal, disturbance. The vision of the left eye was the bulbus was prominent, that is, slight exophthalmos was present; there was no bruit and no limitation in the movement of the eyeball. The iris was congested and adherent to the lens, which was cataractous. Large swollen episcleral vessels crossed the globe, especially at the inner side, and the ciliary zone was intensely injected. The tension was +2. * Specimens presented to the Pathological Society of Philadelphia December 14,1899.