On changes in the fundus oculi in anaemia / by Robert Saundby.

Date:
1882
Catalogue details

Licence: Public Domain Mark

Credit: On changes in the fundus oculi in anaemia / by Robert Saundby. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    dilated by atropine, a perforated, disc held before the eye actually depreciated the acuity of vision, which would seem to indicate a failure of light-perception. It is to be regretted that this point was not noted in all the cases, as our attention was only drawn to it late in the inquiry ; but in all cases in which it was looked for it was present, and was unquestionable. Possibly this failure of light-perception may be one factor in the production of the dilated pupil so general in chlorotic girls. In the series of cases of secondary anaemia, the result of haemorrhage—eleven in number—one case of severe flooding after labour, with loss of sight, showed primary atrophy of the optic nerves, the retinal vessels being reduced to threads, and vision to simple perception of light. This case conforms to the well known type of optic nerve atrophy after haemorrhages, usually, as in this case, spontaneous in origin. In one case of haemorrhage after amputation at the hip for strumous disease of the hip joint, the discs were pale and blurred, and a large striated haemorrhage surrounded the left. In this case the anaemia was not solely the consequence of the haemorrhage, as the patient had been for long the subject of an exhausting joint-disease. In two cases black spots were found in the retina, and in one the discs were slightly blurred. In no case did the hypermetropia exceed while one case showed a myopia of In this latter series, therefore, changes of some sort were found in five cases out of eleven, though definite changes were found in only two. The series is not large enough to give much statistical value to the proportion, and the cases differed too much in their clinical features to enable us to draw any deductions from them. ¥
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