The fundus oculi, with an ophthalmoscopic atlas illustrating its physiological and pathological conditions.

  • Frost, W. Adams.
Date:
1896
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Licence: Public Domain Mark

Credit: The fundus oculi, with an ophthalmoscopic atlas illustrating its physiological and pathological conditions. 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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    on retina, from wliich springs a bunch of vessels upwards and forwards into vitreous. Some present free extremities, others form loops and return to point of origin. 8])iral twists at summit of loo^js. Tlie vessels float freely in vitreous. No detachment of retina. The vitreous subseipiently became too hazy for ophthalmoscopic examination. HiRSCHBERG {Ccntralbl. f. prakt. Augenh., Leipzig, 1881, p. 48).—Woman, 2?.. There had been choroido-retinitis with blurring of OD., and hfemorrhages in both eyes. On vitreous clearing, the vessels were seen. HiRSCHBERG {GentrolU. f. pmkt. Augenh., Leipzig, 1883, p. 325).—Woman, 60. Failure of v. in both eyes, worse in LE., in which punctate retinitis. In EE. vessels spring into vitreous from OB. in all directions, except up and in, most formed loops and returned to point of origin, swelling at summit of some of the loops. Urine examined for excess of urea without result. Albumen and sugar not mentioned. Nettleship {Trmis. Ophth. Soc, vol. iv., 1884, p. 150).—John K., 50. Seen August 1883. V. failing seven months; the LE. hrst. Had had choroiditis a year previously, followed by secondary symptoms. LE. opacities in vitreous. Extensive detachment of retina. HE. and 16 J., a posterior synechia below. Numerous webs in vitreous. A good many rounded htemorrhages of rather small size on fiiudus, chiefly at upper periphery, also several dark ones, apparently in front of retina near YS. Two weeks later, a close meshwork of very small tortuous vessels on the outer side of disc, and another patch of vessels on inner side. No evidence of obliteration of any of the centi'al vessels. Disc, pale and hazy. The vitreous became clearer, and on October 23rd drawing (reproduced) was made. There is a flat transparent vascular membrane attached to the outer border of OD., and projecting straigiit forwards into the vitreous. Its vessels are looped and very numerous. One larger one forming its anterior free border. The top of the membrane visible with 4 L>. December Qlh. Condition unaltered, except that the luemorrhages have dispersed. Still some fine webs in vitreous. V. -f^, 14 J., barely, January 14th, 1884. The web was bent over to the nasal side. February 2\st. Two fresh growths of vessels have appeared in form of long narrow leasiies, one passing up and out, the other inwards, from the upper part of the disc. The original membrane lias bent over still more towards the nasal side of the disc. These conditions are shown in a second figure. Aiujust 2\st. V. -f^, 14 J. Fundus mucli as last note, but a good deal of white ojjacity (connective tissue ?) about the bases of some of the vascular growths. The veil-like growth at tlie disc has turned, so tliat it is now nearly horizontal, instead of vertical as before. Connnunicated by Mr. Ernest Clarke.—A. B., 19, actress. First seen February 26th, 1887. History of syphilis. V. RE. = ^. LE. Vitreous very hazy from fine dust-like opacities. On the outer side of the OD. apparently spring from tlio central artery two vessels wliich came forward into the vitreou.s. JJotli were tortuous, tlic upper one l)oing cork-.scrcw s1ia]iod; (hey foi iiied loops, tlie extremities of whicli moved about freely witli the ocular movements. Under iodide of