Intra-ocular tuberculosis / by Walter H. Jessop.

  • Walter Jessop
Date:
[1905]
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Credit: Intra-ocular tuberculosis / by Walter H. Jessop. 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 St. Bartholomew's Hospital Reports, Vol. XLL] INTRA-OCULAR TUBERCULOSIS. BY WALTEK H. JESSOP, F.R.C.S. When asked to undertake the opening of a Discussion* on l Ocular Tuberculosis, I little thought the subject would cover <so much around. I soon found myself obliged to alter the i title to Intra-Ocular Tuberculosis, thereby eliminating the t extra-ocular diseases, and also those of the protective tissues i of the eye (sclerotic and cornea). Even with these excisions i my subject is too comprehensive, and I have devoted most attention to tubercular disease of the choroid, especially the ( chronic form. I must apologise for the way m which some i important points have been slurred over, but the short time at i my disposal makes it impossible to more than allude to many of them. I Tuberculosis of the Choroid may be conveniently divided into two main sections—(A) miliary tubercle, and (B) the rarer form of solitary or chronic tubercle. Some observers, as von Michel, have described cases of chronic choroiditis of the disseminated type as tuberculous, but this I do not think is yet conclusively proved. A. Miliary Tubercles in the Choroid were first found and described anatomically by Autentrieth in 1808. In 1855 their appearances, as seen by the ophthalmoscope, were re- cognised by Ed. Jaeger, and in 1858 Manz Q) published their microscopical characteristics. As far as I know, miliary tubercles of the choroid are never primary. They are generally met with in patients the subject of acute miliary tuberculosis, but the proportion of such cases, in which miliary choroidal tubercles have been found, is given very differently by observers. * Intra-Ocular Tuberculosis Discussion at the Leicester Meeting of the British Medical Association, July 1905.