The relation between affections of the teeth and of the eyes / by N. Feuer ; translated by Sydney Stephenson.

  • Feuer, N.
Date:
[1894]
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Licence: Public Domain Mark

Credit: The relation between affections of the teeth and of the eyes / by N. Feuer ; translated by Sydney Stephenson. 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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    and lower part of the orbit, to discharge by means of a fistulous opening in the position described. Distinctly marked exophthalmus of the left eye was present, along with serous chemosis of the conjunctiva. After the pus had been evac- uated by means of an incision in the temporal region, improve- ment speedily set in (cited after Wedl).^* Caries, as stated before, attacks, generally speaking, the outer part of the orbital ring, whereas fistula of the lacrymal sac is seen towards the inner and lower orbital border. A fistula in the latter position, therefore, is due probably to lacrymal or to dental trouble, rather than to caries of the bone. Sewill 2^ records the case of a boy, ten years of age, who for several months had a constant discharge of matter from an opening near the inner canthus of the right eye, which aperture bore an outward resemblance to a lacrymal fistula. A probe, passed through the opening, however, reached downwards to a discoloured canine tooth, after extraction of which the fistula soon healed. Parinaud 2<> records two cases, in children from five to six years of age, of fistula of the orbital margin, both of which were caused by carious teeth ; he also describes two other cases, in adults, of fistula in the upper part of the lacrymal sac. As regards the former, it may be noted that inflammatory swelling of the cheek was absent. Further, after perforating the alveolus, the pus had not burrowed, as is usual, under the periosteum of the jaw- bone, nor had it passed along the maxillary sinus. It had in point of fact taken a path that may be explained by a refer- ence to the development of the teeth. At a certain period of development, the alveoli of the 24 Wedl. Path, der Ziihne, 1870, p. 169. 25. Sewill. Odontological Society of Great Britain, 1S69 and 1883 Deutsche Monatschr fur Zahnheilk, 1884, p. 347. ' 26. Parinaud. Arch, gen de Med., Juin, 1880, and Deutsche Monats. fur Zahnheilk, 1884, p. 137.
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