Cases of irido-choroiditis, treated by division of the ciliary muscle : with remarks on the relative value of this operation and iridectomy / by Henry Power.

  • Power, H. (Henry), 1829-1911.
Date:
[1864]
Catalogue details

Licence: Public Domain Mark

Credit: Cases of irido-choroiditis, treated by division of the ciliary muscle : with remarks on the relative value of this operation and iridectomy / by Henry Power. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    3/16 (page 79)
    79/ 1864.] MR. POWER ON CASES of iRroo-csoRoinjrfis. J of the child, her previous history, and the cohditio«of her right lung, there can be little doubt that she was of a tuber- cular diathesis, and that the growth within the cranium was of a tubercular character. I will not venture to speculate on its probable situation. Convulsions, a very common symptom of cerebral tubercle, but not a necessary one, was absent in this case. Amaurosis, with atrophy of the optic nerves, is not an uncommon result of tumours in different parts of the brain and of the cerebellum, even when these tumours exert no pressure on the nervous structures concerned in vision. The most probable way of accounting for this condition is that suggested by Dr. Brown-Sequard, that by a reflex action the vessels nourishing the optic nerves are excited to undue con- traction, the supply of blood is reduced and atrophy ensues. It is not a common occurrence for tubercle in the brain to undergo retrograde changes, and the disease to be arrested; but MM. Killiet and Bartliez found cretifaction occurring in two out of thirty-seven cases, and Dr. West observed the same condition once in nineteen cases of cerebral tubercle. That tuberculization of the bronchial and mesenteric glands is very often arrested in children there can be no question ; indeed I consider it to be of constant occurrence. Nothing is more common than a deposition of tubercle in various organs as a sequel of measles or whooping-cough, and if these cases be properly treated a very large proportion of them recover. That the same may occur in the brain there is no reason to doubt. In regard to the treatment of this case I do not ascribe the recovery to the use of calomel, but much rather to cod- liver oil and iodide of non. If a similar case came under my treatment again, I should give cod liver oil, and at the same time resort to counter-irritation. I would give a nutri- tious diet, and apt- rather freely on the bowels by calomel and jalap. r £ ) ™ /***—£• Cases of Irido- Choroiditis, treated by Division of the Ciliary Muscle, with Remarks on the relative value of this Operation and Iridectomy. By Henry Power, Esq., M.B., F.R.C.S.,Surgeon to the Royal Westminster Ophthalmic Hospital; Surgeon to, and Lecturer on Physiology and Comparative Anatomy at, the Westminster Hospital. Case I.—M. A. K., aet. 61, a fresh-complexioned woman, occupied as a housekeeper at Egham, in Surrey, called upon me on the 16tli November, 1860. She stated that, in August of that year, she felt a burning sensation in the globe of the