Albuminuric retinitis with vascular changes : aneurysms on retinal arteries / by A. J. Ballatyne.

  • Ballantyne, Arthur James.
Date:
[1908]
Catalogue details

Licence: In copyright

Credit: Albuminuric retinitis with vascular changes : aneurysms on retinal arteries / by A. J. Ballatyne. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

    3/12 page 1
    ALBUMINURIC RETINITIS WITH VASCULAR CHANGES: ANEURYSMS ON RETINAL ARTERIES.1 By A. J. BALLANTYNE, M.D. William M'L., aged 36. This man is a patient in the Glasgow Royal Infirmary, under the care of Dr. John Cowan, suffering from chronic nephritis (contracted white kidney). Symptoms began in May, 1906, with a sudden attack of excruciating frontal headache. Vomiting followed in a few hours, and he noticed that his sight was dim. He felt sick and unwell for two clays, and then the symptoms, including the dimness of vision, gradually passed off. A second attack occurred two months later, and then others at more frequent intervals, being about once a week for two or three months before his admission in May, 1907. Some shortness of breath and frequency of micturition were the only other symptoms complained of. On admission the urine was found to be pale, of specific gravity of 1015 ; quantity rather deficient; albumen and casts plentiful. Patient seemed a healthy, well-nourished man. The heart was not enlarged, and there were no murmurs, but the aortic second sound was loud and intoned. The radial, brachial, and temporal arteries were all rigid- and tortuous. The radial, pulse showed very high tension, and blood-pressure, as given by the sphygmomanometer, was markedly elevated ; systolic, 220 mm. Hg.; diastolic, 155 mm. Hg. Visual acuity was only moderately reduced (f). The dimness, which was said to accompany the attacks of headache, may have been a ursemic amblyopia. Ophthalmoscopic examination.—Fig. 1 shows the appear- ances found in the right eye a few days after admission Ine disc margins are slightly hazy. The retinal arteries are 1 Read at a meeting of the Glasgow Medico-Chirurgical Society held on 1st November, 1907. J
    digitised image 1
    digitised image 2
    digitised image 3