Palsy of the extraocular muscles in exophthalmic goitre : with the report of a case / by William Campbell Posey.

  • Posey, William Campbell, 1866-1934.
Date:
[1904]
Catalogue details

Licence: In copyright

Credit: Palsy of the extraocular muscles in exophthalmic goitre : with the report of a case / by William Campbell Posey. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

    2/6 (page 2)
    sclera showing between the upper lid and the superior border of the cornea in both eyes. It was noted that the patient fixed with the right eye, the left being rotated somewhat downward and out- ward. The Graefe lid sign was at times present in both eyes, but at others, though carefully searched for, it could not be demon- strated. When the patient was asked to follow the examiner's finger in testing the excursions of the eyes, it was found that the left eye could not be rotated above the median line; external and internal motion also was restricted; downward movements were good. All of the motions in the right eye were performed normally. Exophthalmic goitre, showing exophtbalmus, the Dalrymple sign, and paralysis oi the external, superior, and inferior rectus and inferior oblique muscles of the left eye. The pupils were 3 mm. in size and the irides responded equally and freely to light and accommodation stimuli. The ophthalmoscope showed about 1 D. of hypermetropia in each eye with some astig- matism. The optic nerves were somewhat gray, but there was no neuritis. The retinal veins were rather fuller than normal and pulsated upon the disk only. Vision equalled 5/6 in the right eye and 5/9 in the left. There was no restriction of the visual fields. From a study of the double images, it was apparent that there was a palsy of the left sixth nerve and of that portion of the third nerve of the same side which supplies the inferior oblique and the superior