Ocular affections due to nasal disease / by Henry Eales.

  • Eales, Henry.
Date:
1909
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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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    right eye. The fundus appeared normal in each eye, except for some fulness of the retinal veins. Eight pupil reacts sluggishly to light, the left only very slightly. She was sent to Di'. Foxcroft, who evacuated a cyst in the ethmoid cells. On November '20 I found E.V.§ part, L.V.f part, but already there was considerable expansion of F.V. in each eye, though considerable loss of temp, half in left eye, and some contraction on nasal side right eye, both fields were larger on December 4. and on December 11 both F.V. were full, and R.V. = f, and L.V. = f full. I saw the patient a few days ago, and found her vision=|in each eye, and learned she had had no further trouble with her sight since attending here in 1906. A very similar case, a man aged 23, of blindness in one eye, with rapid recovery after resection of the post end of the middle turbinate, which was under the care of my colleague, Mr. Wood White, is recorded by Mr. Evans in his paper in the Ophthalmoscojje for April last, in which paper Mr. Evans also gives an epitome, of which the following gives the salient points, of my third case, which is worth including here, and which came under my care first on January 8, 1907. Amy Marion, age 34, gave the history that she had been unable to see to work for six months. No nose trouble ; pupils sluggish to light. No pain on pressure or movement of globe. Ii-V=i%, I partly C. + 75, L.V=A, not unproved. Temporal contraction of both F.V. Large scotoma in left eye. Fundi normal. No nasal disease found on examination of nose. Fort- night later, n.Y.=j% partly, L.V. = ^ L.F.V. cannot be taken. Fortnight later, R.Y.=^\, L.Y.=^\, colour scotoma in both eyes, left most marked. Mr. Seymour Jones operated several times, removing polypi from the left posterior ethnoid cells, and opening up a purulent right sphenoid sinus. In this case both F.V. showed extraordinary changes while under observation, but ultimately became good examples of bi-temporal hemianopsia about May, 1907. since which they have remained the same, as also her vision, which then was R.V.=f, L.=T%, while the temporal sides of optic discs also became very white and atrophic, and when last seen,
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