Primary sarcoma of the iris : a statistical study, with the report of an additional case, in which the growth was successfully removed by iridectomy / by Clarence A. Veasey.

Clarence A. Veasey

Date:: [1897]

Credit: Primary sarcoma of the iris : a statistical study, with the report of an additional case, in which the growth was successfully removed by iridectomy / by Clarence A. Veasey. 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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$PRIMARY SARCOMA OF THE IRIS. A STATISTI- CAL STUDY, WITH THE REPORT OF AN ADDITIONAL CASE, IN WHICH THE GROWTH WAS SUCCESSFULLY REMOVED BY IRIDECTOMY. By Clarence A. Veasey, A. M., M. D., PHILADELPHIA, PA. ADJUNCT PROFESSOR OF DISEASES OF THE EYE, PHILADELPHIA POLY- CLINIC; DEMONSTRATOR OF OPHTHALMOLOGY, JEFFERSON MEDICAL COLLEGE, ETC. [Illustrated]. Primary sarcoma of the iris is an affection so seldom met with that a report of each isolated case requires no apology. The following notes are from a very interesting case, kindly referred to me by Dr. Joseph J. Burke of this city, from whom the growth was successfully removed by a broad peripheral iridectomy. M. B., aged 46 years, a male, had been suffering from an inflamed left eye for three weeks when I was first asked to see him at his home. There was excruciating pain in the bulb that extended back- ward through the temporal region to the left side of the head, accom- panied by intense photophobia on the least exposure to light, which was attributed by the patient to an attack o£ neuralgia. An examination, however, revealed marked peri-corneal injection, a discolored iris, a contracted pupil with numerous posterior synechia? and what ap- peared to be a brownish growth in the upper inner quadrant of the iris. Hot compresses at frequent intervals followed by the instillation of a solution of sulphat of atropinwas the treatment prescribed, and the patient was told to report at my office on the following day for further examination. Upon this occasion his vision was found to be for 0. D. 5/9 and for 0. S. 5/27, the latter eye being under the influence of a mydriatic and the patient complaining of everything looking very foggy. The vision of the left eye was unimproved by glasses. An examination of the right eye showed it to be normal with the exception of a low refractive error which, when corrected, gave him perfect visual acuity. An examination of the left eye showed an evenly dilated pupil ex- cept up and in. In this portion there were no synechias, but a small brownish tumor of the iris, somewhat ovoidal in shape, could be seen, the lower end of which was pushing the posterior pigment layer of the iris downward and backward giving to the pupil the$