Ocular affections due to nasal disease / by Henry Eales.

  • Eales, Henry.
Date:
1909
Catalogue details

Licence: In copyright

Credit: Ocular affections due to nasal disease / by Henry Eales. 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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    on February 3, and on February 15 Dr. Glegg opened the post part of the ethmoid labyrinth, and evacuated a small quantity of pus with the curette. After this procedure liei' vision at once begaiv to improve, and next day there was considerable enlargement of her F.V. in the right eye, on the temporal side. On February 21st the L.F.V. was normal, and the right nearly so, only a deficienc\- of about 10 deg., aiid V=| in each eye, and there was marked recovery in the paralysis of the right external rectus, the right eye moving out well beyond the middle line. March 27 Y=% in each eye. F.V. was full in each eye. Paralysis of right ex- ternal rectus was practically gone. From that date she had had no further trouble with her eye, so she told me when I last saw her, on December 4, 1908, having sent for her to repoi-t herself, when I found her eyes in all respects well, as last noted. In the Lancet Dr. Hay discusses the paralysis of move- ment at much length and some complexity, but I am not sure that the explanation is not much simpler, being due to paralysis of the right external rectus, while the left internal rectus was simply inhibited voluntarily or involuntarily in attempts to look to the right, owing to a desire to avoid dip- lopia, which was very annoying to the patient, while the jerky movement in looking to the extreme left may have been due to want of proper control by the weak right external rectus when this movement took place. E. C, female, aged 33, came to see me first on November 13, 1906, stating that six days previously her sight, which was good on rising, began to fail about 10 a.m., and got worse all day, but during the last three days had been improv- ing. Frontal headache, which was present at first, was now gone. On enquiry, I learned that she had had an operation on the nose, at the General Hospital, in 1905, for diseased bone. Says she still has discharge at the back of the nose. On examination, I found Ti.\. = ^% part, and L.Y.j% part. The F.V. of left eye was contracted to a small central area, and there was c(msiderable contraction of luisal side of F.V. m
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