Disease of the optic nerve in myxedema : its relationship to the thyroid gland and to the hypophysis / George S. Derby.

  • Derby, George S.
Date:
1912
Catalogue details

Licence: In copyright

Credit: Disease of the optic nerve in myxedema : its relationship to the thyroid gland and to the hypophysis / George S. Derby. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

    4/22 (page 2)
    enlargement. Very slight amount of hair in the axilla; the hair on the scalp thin. Very little perspiration. Abdomen negative. Knee-jerks not obtained; some stiffness of the right knee with limitation of motion. Trifling edema of the feet. LEFT RIGHT Fig. 1.—Author's Case 1, Oct. 20, 1910. Moderate psoriasis. Nails brittle. Urine: twenty-four-hour amount 54 ounces; normal acid; specific gravity 1,012; slight- est possible trace of albumin; urea 13.7 gm., no bile and no sugar: sediment negative. Ophthalmic Examination.—Mrs. B. complained of difficulty especially in reading. Her sight had always been good until recently, when she had noticed a general haziness. Through the kindness of Dr. 0. F. Wadsworth and Dr. C. H. Williams, I am enabled to record her ocular condition on two previous occasions. In 1902, Dr. Wadsworth found: V. R. — .75 sph. = 6/4. V. L. — 1.0 sph. = 6/4. Muscles were normal; fundi normal. In August, 1909, Dr. C. H. Williams made the following notes: V. R. — 1.0 sph. t: — .50 cyl. axis 180 = 6/10. V. L. — 1.0 sph. = 6/12. The ophthalmoscopic examination showed retinal arteries rather small, especially in the right eye; disks slightly grayer than normal. Pupils reacted feebly to light. At the time of her visit to me, vision was as follows: V. R. = 6/60 not improved. V. L. — 1.0 sph. = 6/15. The pupils were equal and reacted sluggishly to light. The tension was normal to the finger, The ophthalmoscope showed marked atrophy of the right nerve-head, moderate pallor of the left nerve-head, with possible slight diminution in the size of the vessels.