Amblyopia from the abuse of tobacco and alcohol : a clinical paper based upon cases in the practice of C. R. Agnew and David Webster / by David Webster.

  • Webster, David, 1842-1923.
Date:
[1880]
Catalogue details

Licence: Public Domain Mark

Credit: Amblyopia from the abuse of tobacco and alcohol : a clinical paper based upon cases in the practice of C. R. Agnew and David Webster / by David Webster. 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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    which were of gr. -,V each. No physiological effects were produced. Case VII.—Colin McK , aged forty-nine years; machinist and engineer; could see well with spec- tacles up to three months ago, since which vision has gradually but rapidly failed. Has smoked from ten to fifteen strong cigars daily for ten years; oc- casionally drinks a glass or two of gin; drinks cofifee four times a day. Vision, j^jj each eye; improved by + but not to -<f\^^. OpJdhalmoscojyic examination: Incipient atrophy of optic nerves. Strych. nitrat. gr. -/j was injected into the back of the neck, and within five minutes vision rose to f § each eye. He returned to his family physician with a letter, and we have not heard from him since. Case VIII.—C. S. P , aged forty-six years ; auc- tioneer; saw well with glasses up to five weeks ago ; read the newspapers up to nineteen days ago. Never had syphilis nor malaria. General health good. Previous to the commencement of his failure of sight he was constantly under the influence of alcohol and tobacco, and still has his pipe in his mouth at least half the time. Ophthalmoscopic examination : Incipient atrophy of optic nerves. R. V., -nrj ; no improvement with glasses. L. V., f^, with -f-^-. Central scotoma of both eyes, but no color-blindness. This jDatient was treated with strychnia injections from April 17th to May 10th, when he was discharged with vision unchanged, and has not been heard from since. Case IX.—E. E , aged forty-six years ; com- plains of gradual impairment of sight. Drinks and smokes excessively. V. /o~o each; no improvement with glasses. Ophthalmoscopic examination: Optic disks of a dirty, brick-dust color. Advised to abstain from tobacco and spirits and return in a week. March 2d.—V. f o each eye, after a week's absti- nence.