Pseudoglioma / by John B. Story.

  • Story, John B.
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: Pseudoglioma / by John B. Story. 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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    raucous in character. The ocular conjunctiva was but little, if at all, affected; but owing to the restlessness and excitement of the baby it was difficult to be very positive upon the point. Though far from suspecting at this time the gravity of the case, I thought it from the first an extremely serious one in consequence of the condition of the right cornea, which presented in its centre a yellowish white infiltration, resembling an abscess so strongly that I entered the diagnosis, abscessus cornese, with a note of interrogation after it, in my Case Book. This, of course, prevented my seeing the condition of the pupil. I considered the exudation at the time as situated in the cornea; but it is, I believe now, not impossible that it may have been in the anterior chamber merely in contact with the posterior surface of the cornea, and not in its tissue. A per- fectly thorough examination in cases like this is often a matter of extreme difficulty, as we all know there are maternal obstruc- tions to overcome besides those on the part of the little patient. I prescribed an astringent lotion, and an ointment of atropia and the yellow oxide of mercury, and did not see the child for some days subsequently. At the next visit, my notes of which are unfor- tunately without date, I found the ophthalmia and mucous discharge almost cured in both eyes, but the iris of the right eye was dis- coloured and greenish, and showed absolutely no signs of the action of atropia, while the pupil of the left eye was fully dilated. There was no corneal infiltration visible, but the pupillary area was filled with a yellowish exudation which projected slightly into the anterior chamber. On the 22nd of March I saw the child in consultation with Dr. Gibson, and the diagnosis we determined on was plastic irido- choroiditis, At no time, owing to the struggles of the child, and the soft swollen condition of the lids, could I satisfy myself as to the condition of the intraocular tension in either eye. After this I, unfortunately, was confined to bed, and my friend. Dr. Arthur Benson, examined the child for me on March 29th, when he made the following note:— Lids intensely swollen, proptosis, chemosis, some discharge, no anterior chamber, seems like panopthalmitis or some acute orbital suppuration coming on. I