On the localisation of foreign bodies in the eye by x-rays / by Karl Grossmann.
- Karl Großmann
- Date:
- [1899]
Licence: Public Domain Mark
Credit: On the localisation of foreign bodies in the eye by x-rays / by Karl Grossmann. 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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![his wound dressed at the hospital and was told to come the following day; but he did not return until Dec. 5lli when I saAv him for the first time. I found on the left eye a finely drawn wound of about 3 millimeter length in an oblique direction, just over the ciliary region, on the inner (nasal) side of the cornea. The pupil, net dilating well under atropine, formed a kind of horizontal oval. A pink pericorneal injection looked rather cyclitic. The fundus reflex is of a dull red. The optic disc is visible and apparently normal. I notice downwards and outwards 2 darkish streaks but the media are not sufiiciently clear there to admit of a more accurate examination. Patient is quite positive about the bit of steel not having entered (but only scratched) the eyeball, Vision = fingers in 2 yards. On December 7tli two radiographs were taken by Dr. Holland, demonstrating the presence of a foreign body. Patient thereupon consents to the removal of the eye which was enucleated on Dec. 9'h; 6 days afterwards he goes back to his work. On Dec. 11'li the enucleated eyeball was skiagraphed by Dr. Holland — to whom my thanks are due for the great trouble he has taken in carrying out my suggestions and wishes with regard to the various skiagraphs he took for me. The eyeball being hardened in a fluid of 4 parts Mueller to 1 part formalin — recently recommended very highly — had shrunk on its inner side; placed in a weake^- afterwards it expanded again to normal size. The shadow is clear and sharp in outline. The position of the foreign body was found to be in the outer half, near the sclerotic, near the insertion of the external rectus muscle. This case was of great interest in so far as the presence of a foreign body once being established there was no reasonable alternative left but to remove the eyeball. The patient's positiveness about the non-entrance of any foreign body made it possible to believe that the fine wound on the ciliary region might have been nothing but a superficial cut very nearly healed by the time he showed himself. As soon as the skiagraphs had demonstrated the presence of a foreign body the fact of that ciliary wound being a penetrating one was also established, and the removal of the eyeball )>ecame advisable. The cyclitic symp- toms and the opacity of ])art of the vitreous could not be passed 1](https://iiif.wellcomecollection.org/image/b21646090_0004.jp2/full/800%2C/0/default.jpg)
