Atlas of the external diseases of the eye : including a brief treatise on the pathology and treatment / by O. Haab ; Authorized translation from the German, edited by G.E. de Schweinitz.

  • Haab O. (Otto), 1850-1931.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: Atlas of the external diseases of the eye : including a brief treatise on the pathology and treatment / by O. Haab ; Authorized translation from the German, edited by G.E. de Schweinitz. 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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    Plate 40. ‘ Pulsating Exophthalmos and Glaucoma of the Left Eye.—The patient is 38 years old, and a farmer by occupation. On August 14, 1896, he fell from a load of grain ; did not lose consciousness, but bled freely from the nose and at once became stone-deaf. On September 13 the left eyeball began to protrude, visual acuity and mobility diminished, and by the middle of October, when be was admitted to the clinic, all the symptoms of pulsating exophthalmos liad developed, except that the patient did not complain of noise in the head, although a pulsating bruit could be heard with the stethoscope all over the head. The increasing protrusion of the globe, however, became more and more distressing (at one time a siuftll corneal ulcer developed), and the patient consented to ligation of the carotid, which was performed bj’^ Dr. Kroulein on November 20. At first the result appeared to be favorable ; but in the course of the next six months marked exophthalmos again developed and became further complicated with glaucoma. The latter is responsible for the dilatation of the pupil and disappearance of the iris under the lower margin of the cornea, seen in the picture. The.anterior chamber is shallow and con- tains a small hyphema. Fundus not visible, only red light. T + 2. As the regioji of the supraorbital vein (above the inner canthus) was much swollen and the vein itself exhibited pulsation and bruit. 1 advised the jiatient to have the other carotid ligated, which was done by Dr. Kion- lein on July 30. The exophthalmos .subsided almost completely' and the subjective condition improved, althougli the. glaucoma remained. The vision of the left ey'e and hearing are permanently destroyed, but the man is able to work. of the same, and if necessary of the o])po.site, side. In some cases digital compression of the carotid suffices to effect a cure.