A study of the ocular manifestations of systemic gonorrhoea [sic] with reports of cases of this nature / by W. Gordon M. Byers.
- Byers, W. Gordon M. (William Gordon Matthew)
- Date:
- 1908
Licence: In copyright
Credit: A study of the ocular manifestations of systemic gonorrhoea [sic] with reports of cases of this nature / by W. Gordon M. Byers. 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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![this presentation in order prevent a recurrence an iridectomy was done on the right side the vision of which 6|6o. The uncomplicated operation did not, however, have the desired result; for, fourteen days later, with simultaneous recurrence of the urethral discharge without new infection, a fresh inflammation occurred under the picture of a mild and quickly- coursing iridocyclitis with moderately-rich, fibrinous exudation. Six weeks after the last recurrence the patient was visited by a left-sided iritis which was unassociated with the urethral involvement but with a slight and local- ized joint affection in its later course. It difTered from the former illness through the great persistence of the pains in the eye. This time also there was moderately rich exudation in the aqueous, diffuse at first, but later cloudy in appearance through rolling together of the opacity. The ten- dency to the formation of synechias was particularly marked, and the reaction to atropine somewhat imperfect, so that at the patient's discharge, five weeks later, the adhesions were not entirely overcome and the vision equalled S-Qth only, though one month later it reached the normal degree. From his exit on July 22nd, the patient remained well until the middle of September when there occurred without other manifestations, and with severe pain first a left and four days later a right-sided iridocyclitis which was marked by rapidly passing exudation in the anterior chamber and by rich synechise-formation. The last mentioned was accompanied on the right side by pains of the severest character, by a small herpetic eruption on the cornea, and by a slight affection of the joints of the left thumb. After a month's treatment the patient was discharged with vision equal respectively to 6\g and 2|6o; and he now rejoiced during a period of three and a half months in an uninterrupted state of good health. From the end of January, 1886, to the middle of April, the patient was again visited by the whole connected series of protean affections above (mentioned. First there occurred a slight recurrence of the iritis of the right eye, the course of which was perhaps hastened or rendered more mild through the continued use of atropine up to this time; and soon after a spreading polyarthritis of increasing severity made its appearance. During the continuance of this a fresh urethral discharge suddenly occurred with- out any new infection. At the beginning of March a right-sided iridocy- clitis developed. All the characteristic signs were present and the vision was reduced to counting fingers at i ft. At the same time one had the impres- sion that there existed an affection of the conjunctiva though the iridocy- clitis stood out more prominently. Though under treatment all these manifestations quickly subsided, the left eye was again seized by a conjunc- tivitis of a catarrhal nature with swelling and hypersemia pf all parts of the membrane and rich secretion. On the 7th day this had almost entirely disappeared and given place to an iritis, accompanied by a slight exudation. On the right side also the iritic process recurred for a short time in moderate intensity and then slowly Isubsided. An arthritic inflammation, present also at the beginning of March, became much more widespread with febrile manifestations. (3.) Therapeutical.—The profession has not heretofore accorded to the metastatic gonorrhoea] lesions of the eye that measure of](https://iiif.wellcomecollection.org/image/b21287211_0025.jp2/full/800%2C/0/default.jpg)
