Three cases of sympathetic ophthalmitis setting in three weeks after excision of the other eye : with abstracts of cases already published / by Edward Nettleship.

  • Nettleship, Edward, 1845-1913.
Date:
1881
Catalogue details

Licence: Public Domain Mark

Credit: Three cases of sympathetic ophthalmitis setting in three weeks after excision of the other eye : with abstracts of cases already published / by Edward Nettleship. 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.

    6/18 (page 6)
    Y. H. ^=11; + .7 reads words of 6 Jaeger. Seton inserted in temple. 12.—No salivation; subcutaneous injection of pilo- carpine (gr. tY) repeated daily till 18th (seven injections). First injection caused sweating and some salivation for half an hour. Next morning was well salivated. 14.—Mouth very sore; take one pill daily. 17.—Omit pill. He was kept more or less salivated almost without intermission for about ten weeks. In the early part of this time the eye was usually better when his mouth was sore, but towards the end this coincidence ceased, and a severe exacerbation came on whilst he was well sali- vated. Throughout the attack the congestion varied verv much from day to day. August 26 (after a month’s salivation).— Punctate deposits on cornea quite gone; pupil as before, partially dilated (about 5 m.m.); texture of iris not much altered ; details of fundus now invisible, probably owing to haze of vitreous, though no separate opacities can be seen. September 1.—Relapse of congestion and pain. 11.—Seton has cut out. 23. —Relapse, much congestion, cornea steamy, aching pain. Four leeches; reinsert seton behind ear. 24. —Very severe pain referred to head; no sleep last night. 25. —Intolerable pain, continued all last night and to-day, in L. side of head; no pain in face. 29.—Under croton chloral the pain quickly ceased. Eye s ill much congested. This relapse occurred during salivation, and when the weather had suddenly become colder; probably he caught cold. A few days later, the eye having again quieted down, he was discharged to his home, with careful directions, the mercury being stopped. The anterior chamber was shallow, and T. rather +, and remained so till his re- admission for iridectomy early in the present month (January 1880). Whilst attending as an out-patient the eye became on the whole quieter, and Y. improved a little; the ciliary region became dusky as the redness passed away, and the eye appeared elongated by ciliary stretching. About Christmas the sight began to vary very much from day to day, and before iridectomy I made out that the disc was pale and cupped, and that there were disseminated patches of choroidal disease (atrophy?). At the operation the iris was