Ophthalmovascular choke / by George M. Gould.

  • Gould, George Milbrey, 1848-1922.
Date:
1908
Catalogue details

Licence: In copyright

Credit: Ophthalmovascular choke / by George M. Gould. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    [103] became nearly 20/20. The acuteness of the left was nearly normal from the first. The refraction error is: R. + Cyl. 0.50 ax. 100° L. + S. 0.37 + Cyl. 0.75 ax. 90° Case VI is that of a robust young woman of 23, whose general health since renunciation of study, and near-work has been good. During the period of her most severe studying six or seven years ago she had a “ nervous breakdown ” (in the language of the lay- world,—“ neurasthenia ” in that of the Neurologs), and was compelled to leave school. At this time she was very “ anemic,” and had a score or more of “ fainting spells,” losing consciousness from 5 to 10 minutes at a time. Four years ago she got glasses, worn ever since: R. + S. 1.7o + C. 1.00 ax. 90° L. + S. 2.25 + C. 0.50 ax. 90° [ 1041 Her static error I found to be: R. + S. 2.50 + C. 1.75 ax. 85° = 20/30 L. + S. 2.75 + C. 1.00 ax. 95° = 20/20? with good muscular balance. With proper correction the object steadily gazed at, fades out in four seconds with the right eye, and with the left eye in six seconds, with both eyes in eight or nine seconds. She has long been conscious that she “couldn’t hold the sight of things”; the symptom was worse before she got glasses, during her “ breakdown,” etc. It troubled her little when she wore her glasses, in after years, and was not noticed when she did not use her eyes in reading, writing, etc. Indeed it came to be her rule to wear the glasses only when the symptom became troublesome. Several months after her first visit to me and at her second visit it was as troublesome as ever, and the visual acuteness had deteriorated somewhat, because she had been wearing her glasses but little. Even then the fading image at this time would cease bothering her much whenever she resumed her spectacles. I found the vessels frequently intercrossed near and upon the discs, the lumens of those passing beneath flattened and in great part extinguished, the veins turgid, .etc.; there was no marked venous pulsation. Case VII is that of a woman of 30, in whom frontal headache began about 9 years ago. Two years later pain in the eyes was so severe that different parts of the body, the tongue, arms, etc., seemed as if paralyzed by it (the old story again!), and continu- ing until the only relief obtainable was by means of morphin. The pain at the first visit to me was chiefly at the backs of the