Endophthalmos : a paper read in the section of ophthalmology at the annual meeting of the British Medical Association held at Portsmouth, August, 1899 / by E. Treacher Collins.

  • Collins, E. Treacher (Edward Treacher), 1862-1937
Date:
[1899]
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Licence: Public Domain Mark

Credit: Endophthalmos : a paper read in the section of ophthalmology at the annual meeting of the British Medical Association held at Portsmouth, August, 1899 / by E. Treacher Collins. 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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    Reprinted from the JJm nsii Mkiucai. Jouhnai., Sept. 30th, 18lJ9. EXOPHTHALMOS. A Paper read in the Section of Ophthalmology at the Annual Meetin<j of the British Medical Association held at Portsmouth, August, 1899. By E. Treacher Collins, F.R.C.S., Assistant Surgeon, Koyal Ophthalmic Hospital, Moorflelds. Exophthalmos, or displacement of the eyeball backwards in the orbit, is a symptom which, though not frequently met with, may be brought about in a variety of ways. Having during the last few years had several cases in which it was present come under my observation, some of them excep- tional ones, I thought it would be interesting to bring tbem together and compare them with the various theories which have been put forward to account for its causation. First of all, the cases may be divided into those in which the sinking of the eyeball has resulted from some severe injury to the face and those in which no history of such injury could be obtained. I will consider the latter cases first. Non-Traumatic Cases. In paralysis of the cervical sympathetic, together with contraction of the pupil and slight drooping of the lid, there is sometimes sinking of the eyeball in the orbit. I have met with 3 cases presenting the pupillary and lid symptoms of paresis of the cervical sympathetic; in 2 enophthalmos was present, but had to be carefully looked for before it was noticed. In the other cases no displacement of the eye back- wards could be detected. The cases are of interest in that in none of them could any very definite cause for the affection of the sympathetic be discovered. flii^fV'-,B* >fed ?2' came first as an out-patient to the Moor- monfh^h?r,Wf°^f1'CJ\I^hUI^'P,omp,laining that fortl>e l«»t twelve months her left eye had looked smaller than her right On examination man on the right, due to drooping of the upper lid The l<»tt- pupil was smaller than the right ; both acted well to liibfc the left °ZT»?t\Tf W,en^rited or nervous she sweated profusely on t!Jj? i- dL°L tlie fo'ehead, the area over which the sweating occurred w,,g.thH^-by a V.Cry well-defined line in the centre Kno|hthaC Z1U, S ot specially looked for or noted. When she again attended a year later it was found to be present to a slight extent the left 5A?ir' 8 '?• ,§ J- x- Jhe r,8ht PuPn measured 5 mm., J-LtaHn3n n^Vi *PPhcat,on of cocaine to the left eye did not produce any Whtn *??L?Lth? p?pl} or s,'!y iteration in the position of the upper lid ,'7,i 5Vn» c^ei.had,8Wei1,nB9.Pn botl1 8ides °' Deck. ad two years eats sitTO«8^m2fi.*land£ on,t,,e d£ht 8ide- She states tl,at wen she fhfl i» cm» 8 8Pmething slip down from near the condyle of the jaw ou defJ-ted TwoivL1 Pre88Ure behind the ramus on this side a tender spot is ,1 nwe]ve years ago she had diphtheria, after which when she St^e^nd's./e ftn °tirou* h« Vor a tine also her sigh was ^tt o, [ ^l0 wear glasses; as she got stronger she gave ..p