Case of tuberuclosis of the iris, the suspensory ligament, and the retina / by R. Lawford Knaggs.

  • Knaggs, Robert Lawford.
Date:
[1892]
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Licence: Public Domain Mark

Credit: Case of tuberuclosis of the iris, the suspensory ligament, and the retina / by R. Lawford Knaggs. 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.

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    12 Reprinted from Vol. XII of the ( Ophthalmological Society's Transactions.'] i «••» > Case of tuberculosis of the iris, the suspensory ligament, and the retina. By R. Lawford Knaggs, M.C. The following case of tuberculosis of the iris is worthy of record for pathological rather than clinical reasons. Fred B—, get. 9 months, was sent to me on October 18th, 1890, by Drs. Winder and Dyson, of Honley. His parents had noticed the right eye to alter in colour two months before, and since then it had watered a good deal. On examining the R. eye the aqueous was found to be turbid, the iris cloudy and of a greyish-pink tint, and projecting from its anterior surface were from fourteen to twenty white nodules as big as pins5 heads. Except for a faint ring of ciliary injection the eye was not inflamed. The iris in the L. E. was bluish grey. The child was teething. It had not been weaned, and was subject to profuse head sweats and bronchial attacks, but when examined there was no sign of mischief either in the chest or in the abdomen. There was no external sign of syphilis, and nothing in the history to suggest it. Though no history of tubercle could be obtained at the time, Dr. Winder has kindly ascertained for me the following facts :—Four sisters, a paternal aunt, and a cousin of the child’s mother all died of phthisis. Atropine drops (gr. iv ad 3j) were prescribed for the eye, and Hydrarg. c Creta with soda and rhubarb (aa gr. j t. d.) for internal use. On October 29th the spots were noted to be increasing in size, and one or two in the lowest 2>art of the anterior chamber had coalesced, and formed an irregularly shaped mass, which was growing rapidly. The diagnosis of