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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    24, 1877. Blurring of eyesight has been going on for over three months. Contracted dumb ague in Georgia some years ago. Smokes seven or eight cigars daily, and drinks a great deal of whiskey. Vision f fy in each eye, and no improvement with glasses. Ophthalmoscopic exami7iation : Incijpient atrophy of optic nerves. Ordered to quit tobacco and whiskey, and put upon dialyzed iron, with strych. sulph., gr. ^^7, ter in die. September 28th.—V. | o each. Appetite much im- proved. October 8th.—Has had nine hypodermic injections of strych. nitrat., commencing with gr. -/q- and in- creasing to gr. -iV- V. lo each. October 9th.—Injected strych., gr. -j-q-. Patient soon after became dizzy, and vision rose to |§ each eye. Case XVI.—G. M , aged fifty-one years ; mar- ried ; merchant; came under observation July 10, 1876. At the age of seventeen he had scarlatina se- verely, which impaired his memory for a year. He had camp fever during the war, and chills and fever nine years ago. Never had syphilis. Has for many years smoked three or four cigars a day, and has always drank more or less brandy or wine daily, but never to excess. Has had gradual impairment of vision for nine months, as though a vail were drawn over objects. Has for some time been under the care of a physi- cian for his eyes, and has been taking the bromides without appreciable benefit. V. i^oV; no improvement with glasses ; L. V. with +7^-. Ophthalmoscopic examination : A low grade of optic neuritis, with commencing atrophy of both optic nerves. Advised to stop tobacco and spirits for a week and take no medicine. July 17th.—Has practised abstinence for a week, as directed. E. V., |^; L. V., Injected strych. nitrat., gr. -h.