Subjective symptoms in eye diseases : being chapters on the disorders of vision symptomatic of diseases in the eye and central nervous system / by George A. Berry.

  • Berry, George A. (George Andreas), 1853-
Date:
1886
Catalogue details

Licence: Public Domain Mark

Credit: Subjective symptoms in eye diseases : being chapters on the disorders of vision symptomatic of diseases in the eye and central nervous system / by George A. Berry. 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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    irresistible drowsiness, which lasted for days, had prevented him from coming. He was discharged on 23rd March almost quite blind, but otherwise apparently in better health; and the following was Dr Wyllie'a report on 29th April:—Eemains perfectly blind, except very faint perception of window; says, however, that on some days he sees objects pretty distinctly, being able, on such occasions, for example, to recognise his mother. This patient afterwards became insane, and was removed to the Asylum at Morningside, where he died in July 1886. On post-mortem examination an aneurism (2| x 2\ x was found springing from the right internal carotid artery. The chiasma and nerves were so much disorganized by the aneurism that they were difficult to trace, and a considerable depression had been made in the sella turcica. The preparation is in the possession of Dr Spence. The occasional improvement which took , place in this case before permanent blindness set in is suggestive, considering the nature of the lesion. This is an instance of a case in which the typical temporal blindness was slowly developed, remained for a considerable time unaltered, and then proceeded to more complete blindness. The cases of del Monte,1 Mooren (second case),2 Hirschberg,3 and others are more or less similar, and it seems probable that the prognosis is not so favourable in the slowly progressing cases as in such as the following, where there was a gradual but steady improvement from the first:— Cash II.—Mrs MA., 32, from Dundee, first presented herself at the Royal Infirmary on 22nd August 1883, complaining of defec- tive sight. On ophthalmoscopic examination botli discs were found to be extremely pale ; there was, besides, a very abnormal arrange- ment of the pigment cells in the choroidal interspaces, probably congenital, V almost nil L, ^ R, and blindness of right side of field. A chart of the field was unfortunately not taken. She could 1 Oservazioni e note cliniche, Naples, 1871. 2 Ophthalviiatrische Beobachtumgen, 1867.