Amblyopia from the abuse of tobacco and alcohol : a clinical paper based upon cases in the practice of C.R. Agnew, M.D., and David Webster, M.D. (read before the Medical Society of the County of New York, November 29, 1882) / by David Webster.

Webster, David, 1842-1923.

Date:: 1880

Credit: Amblyopia from the abuse of tobacco and alcohol : a clinical paper based upon cases in the practice of C.R. Agnew, M.D., and David Webster, M.D. (read before the Medical Society of the County of New York, November 29, 1882) / by David Webster. Source: Wellcome Collection.

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$March 13th.—He has had five injections of strych. nitrat., the last being gr. -^g. V. ft each eye. March 19th.—E. V., ft; L. V., li Case X.—G. B-, aged fifty years; has long been addicted to the excessive nse of tobacco and alcohol. Vision has been declining for several months, and is now -/o^r each eye. Ophthalmoscopic examination: “Incipient atrophy of optic nerves.” January 15th.—Has abstained from alcohol and tobacco one week without treatment. Y. -nfo~ each eye. January 25th.—Has had eight injections of strych. nitrat., the last dose being gr. -fe. E. V., to \ L- V., ft. Case XI.—E. L-, aged fifty-five years ; lawyer ; came under observation June 16, 1875. Has smoked four or five cigars a day, and drank brandy and water in the evening for many years. Has had increasing mistiness of vision for three or four weeks. Puffiness of lower lids for years. Urine normal. Never had syphilis nor malaria. Never has headache nor pain in the eyes. Latterly he has “ lost stomach.” E. V., ft \ L. V., ft; picking out the letters slowly. Eeads J. 4 with glasses with difficulty. Ophthalmoscopic examination: “Dirty disks.” June 22d.—Has smoked only one cigar a day, and drank no spirits, and has drank milk freely. Vision unchanged. July 6th.—The dose of strych. nitrat. has been in¬ creased from gr. to gr. i. E. V., f§ ; L. V., ft- July 15th.—The dose has been increased to gr. f. Slight physiological effects on arms and legs. August 23d.—E. V., ff; L. V., ft- Can now see the lineaments of faces across the street, while before he could see only the dark outline. He had twenty-two injections in all. Case XII.—J. A-, aged sixty years ; Scotchman, married ; mechanic; came under observation January 17, 1878. Has had failing eyesight for over a year. Has smoked a strong pipe most of his waking hours for more than forty years. Has rarely tasted liquor. No headache. Never had syphilis nor malaria. Urine normal. Y. each eye. Ophthalmoscopic examination : “ Brick-dust atro-$