Cases in ophthalmic practice : with notes and observations / by Edward Nettleship.

  • Nettleship, Edward, 1845-1913.
Date:
[1890?]
Catalogue details

Licence: Public Domain Mark

Credit: Cases in ophthalmic practice : with notes and observations / by Edward Nettleship. 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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    II,—Cases of Detachment of the Eetina, and Disease of THE Vitreous. In the following cases, none of the commonest causes of retmal separation, viz., myopia, blows on the eye, and intra-ociilar tumours, could be made to explain the changes found. Although the cases present many differences among themselves, and cer- tainly do not all belong to the same category, I have thought it worth while to put them together provisionally, as illustrations of a class of diseases which is of some importance and will certainly repay further study. In connexion with some of these cases I would call attention to an important lecture by Mr. Hutchinson On the Influence of the Sexual System on Diseases of the Eye, in the Ophthalmic Hospital Eeports, Vol. IX., Part I., in which it is held that disorganizing changes in the vitreous are amongst the occasional consequences of sexual exhaustion. Case 1.—Detachment of Lower Part of Retina, slight hut widely spread. Ahiondant disease of Vitreous. Eye hypermetropic. No cause foicnd. John A., 42, a carpenter, came in March, 1876, com- plaining that for two months he had had a moving speck, the size of a pin's head, before his K. eye, that the sight was very dull, and that window-glass with this eye looked green. There had been no other symptom. On admission.—E. eye barely sees letters of 20 Jaeger. The pupil acts well independently of its fellow; tension normal. A widely-spread but shallow detachment of the retina at the lower and inner part of the fundus. The separation is * so shallow that though the retinal vessels look small, dark, and tortuous at the affected part, the red reflex of the choroid is noAvhere obscured. Eefraction at the optic disc hypermetropic at least The vitreous full of films. No choroidal disease. L. eye reads 1 Jaeger slowly, and |^; no manifest hyperme- tropia, but by the ophthalmoscope H. at least ^ proved.