The state of the retina in one hundred cases of granular kidney / by Henry Eales.

  • Eales, Henry.
Date:
[1880]
Catalogue details

Licence: Public Domain Mark

Credit: The state of the retina in one hundred cases of granular kidney / by Henry Eales. Source: Wellcome Collection.

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    ORIGINAL COMMUNICATIONS. THE STATE OF THE RETINA IN ONE HUNDRED CASES OF GRANULAR KIDNEY. BY HENRY EALES, SURGEON TO THE BIRMINGHAM AND MIDLAND EYE HOSPITAL. Amaurosis, or defect of vision, was first noticed in association with albuminuria in 1812, by Wells.* Since the introduction of the ophthalmoscope it has been divided into two different kinds : First.—That due to uraemic poisoning of the brain centres, or retina—or probably both ; and in which no structural changes have been found in the eyes. Second.—That in which structural changes are found in the retina, and are the cause of amaurosis. First noticed post-mortem by Turck in 1850.^ It is with this second form that I am now about to deal. The ophthalmic changes have been more or less comprehensively described by different authors. Dr. Gowers, the most recent writer on this subject, in his work on medical ophthalmoscopy, published this year, sums up the changes as follows :—“ The retinal disease presents certain elements which are variously combined in different cases. I. Difiise slight opacity and swelling of the retina, due to oedema of its substance. 2. White spots and patches of various size and distribution, due for the most part to degenerative processes. 3. Hcemorrhages. 4. Inflammation of the intra-ocular end of the optic nerves. 5. Subsidence * “ Med. Chir. Trans. ” Vol. iii. + “ Zeitschrift der Weiner Aerzte.”
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