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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    local use of mercury, which is often very important in the cure of the more chronic skin syphilides, cannot be brought to bear on the choroid. Case 1.—Syphilitic Betinitis and Inflammation of Vitreous in a highly myopic woman. A three months' course of mercury^ JJnfavouraUe progress. Note of condition a year later. Jane I had syphilis at set. 42, and was for about three weeks under treatment for the skin eruption at the Blackfriars Hospital, whence she was sent to the South London Ophthalmic Hospital by Dr. Baxter early in Fehruary, 1877, on account of her eye symptoms. She had taken mercury and iodide for three weeks. I found that she was very myopic (more than J) in each eye, but with an amount of defect which was not accounted for by the myopic changes. A few days later, February 12th, her sight was still worse in the left, and on more careful examination I obtained the following results :— L. eye.—Well-marked diffuse retinitis, without opacity of media and without hemorrhages; a myopic crescent; some doubtful choroiditis at the upper periphery. R. eye.—A large myopic staphyloma entirely surrounds the disc; some small spots of choroidal disease, which may be either syphilitic or caused by the myopia, between the disc and the yellow spot. To continue mercury (gray powder in two-grain doses three times a day) and iodide, but both in rather larger doses than she has been taking at the Skin Hospital. Fehruary l^th.—Gums swollen and tender; omit mercury. March drd.—V. worse, especially in R. It has varied several times in the past week. E. barely 16 Jaeger at 4'''; L. barely 10 Jaeger. Vitreous of each now full of fine films. In the R. there are some small whitish spots in the retina in a horizontal direction from the disc to the yellow spot, in addition to slight choroidal disturbance. Disc rather pale in each eye. Pupils large and sluggish, though no atropine has been used. Continue mercury once a day. 14^^.—Salivated. Mercury omitted. \^th.—Mercury resumed and quinine added. Aching of the eyes, which throughout has been troublesome, is now worse, and there is some photophobia. Pupils as on ^rd, Wear a ^hade,