White sarcomatous intra-ocular tumor : enucleation : [and 3 other papers] / by B. Joy Jeffries.

  • Jeffries, B. Joy (Benjamin Joy), 1833-1915.
Date:
[1873]
Catalogue details

Licence: Public Domain Mark

Credit: White sarcomatous intra-ocular tumor : enucleation : [and 3 other papers] / by B. Joy Jeffries. 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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    choroid and retina, the vessels of which were filled to their utmost. As long ago as 1861, Barensprung, from his dissections, had asserted that “zoster depends on a disease of the ganglionic system, and in special cases on irritation of some one of the spinal ganglia or the Gasserian ; yet the peripheric irritation of a nerve having ganglionic fibres in it may be followed bv a limited eruption of zoster vesicles.” Now, Prof. Horner’s dissection, in the case of ophthalmic shingles above mentioned, showed inflammation of the Gasse- rian ganglion, which, as it were, completes our evidence. Prof. Wyss concludes that his case teaches us “ that zoster is a typi- cal disease of the skin, caused by inflammation of the Gasserian ganglion, or of one of the spinal ganglia and the nerve pass- ing through it. Ganglion as well as nerve may be partially affected. [Note.—This means not separately, ganglion of itself or nerve of itself, but a portion of the ganglion with its corre- sponding portion of nerve, whilst the rest of the ganglion and nerve remain intact.] In cases where the whole cutaneous nervous distribution of one branch is not affected by zoster, but only one region of a single branch, then we may assume simply a partial affection of the ganglion and nerve.” As another instance of the destructive and serious character of zoster, I would briefly mention a case reported in the May and June numbers of the Annales cPoculistique, 1872, by Dr. Hubsch, of Constantinople. Prof. Hebra, of Adenna, diagnos- ticated and treated the case as one of chronic herpes zoster. There gradually came on white atrophy of both optic nerves; seen also by the late Prof. Graefe, at Berlin. Furious delirium supervened, and the patient, when last seen, was fast hurrying to the grave, with evident signs of diffuse encephalitis. Dr Albert Hybord published, last year, an interesting mono- graph on ophthalmic zona and the ocular lesions caused by it. He has sketched and analyzed ninety-eight cases, so far reported. The list includes the four cases I have previously given, one of which ended fatally. He concludes : 1st. Oph- thalmic zona is an herpetic eruption developed over the terri- tory of the first branch of the trigeminal. 2d. Ocular altera- tions coexist with the cutaneous eruption, the most important of which are keratitis and iritis. These may exist together or