Sclerotico-choroiditis posterior : with cases and illustrations / by Henry D. Noyes.

  • Noyes, Henry D. (Henry Drury), 1832?-1900.
Date:
1860
Catalogue details

Licence: Public Domain Mark

Credit: Sclerotico-choroiditis posterior : with cases and illustrations / by Henry D. Noyes. 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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    wife of a professor, who was for many years under his ob- servation. The eyes measured respectively fourteen and thir- teen and a half lines in antero-posterior diameter. The de- scription of the morbid appearances it is needless to relate. These had advanced to an extreme degree, and the symptoms were as follows : A. F. for many years had worn concave glasses of four inches focus, but during the last six or seven years had been obliged to use No. 3^. In early childhood, after an attack of measles, she became very near-sighted ; for thirty years had often asked medical advice because of inflammatory and congestive symptoms which threatened am- aurosis. In the left eye she had for four or five years shown the signs of amaurosis of the central part of the retina, inas- much as she was able to see with only the lateral parts of the retina, no matter how closely the object was made to approach. Neither with concave glasses, nor by looking through a fine hole in a card, could direct vision with the macula lutea be made possible. For this reason I had during the last three years entirely prohibited the use of concave glasses, although the compulsory idleness was very irksome to her active mind. During her last illness, which continued during a half year, the condition of the eyes decidedly improved, with the exception of the central paralysis of the left eye. She did not complain so much of sparks and colors and of occasional herniopia: an improvement which I attributed to the more complete absti- nence from writing, sewing, etc. I will only add that A. F., in her childhood, as well as her three sisters, enjoyed perfect sight, and that only one brother is short-siglited. Professor Arldt very briefly alludes to the detection of this change in the posterior segment of the eye by the ophthalmoscope. Sichel, in a paper written in 1842, and published in Graefe^s Archives fur Ophthahnologie, Band iii.,2 Abth., p. 211, describes all the forms of staphyloma found in the sclerotic under the name of staphyloma choroidese. He divides the subject into staphy- loma choroideas anticum, staphyloma corporis ciliaris, and staphyloma choroideee posticum. Of the latter he says, The posterior choroidal staphyloma is essentially the same as the anterior : like the latter, it is the result of an inflammation of the choroid and retina, sometimes also of the sclerotic, taken in connection with the thinning and agglutination of these membranes. Tliis agglutination is at times only imperfect, but generally it is firm and inseparable over the whole extent of the staphyloma. Here and there may be found other points of agglutination of tlie membranes without staphyloma. All the three tunics participate in tiie adhesion, and yet it is found more frequently simply between the sclerotic and choroid.