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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    -3a [From The Johns Hopkins Hospital Bulletin Vol April, 1908.1 XIX, No. 205, OPHTHALMOVASCULAK CHOKE. By George M. Gould, M. D, Philadelphia. For over 50 years many thousand oculists have been exam- [ioi] ining the eye-grounds of millions of patients with the ophthalmoscope, and in a certain large proportion of these patients these oculists have looked at several abnormal or morbid phenomena. But they have not seen that these things were morbid, and without an inquiry as to their significance they have been classed as physiologic, causeless, and resultless. or 20 years I had been as guilty of malobservation and thoughtlessness, but my excusing of myself is based upon the fact that I had supposed that these thousands of « scientific ” men and “surgeons,- would not have overlooked glaring gross, and naked-eye abnormalisms, and that the significances o He mor id facts, facts which were plainly seen of all would have been set forth in all the text-books of 50 years This is especially true when one thinks how long and avidly ie entne ophthalmic world has sought for the etiology of glaucoma, pigmentary and atrophic degenerations of the re- ma etc, which still remain vexatiously mysterious. A cause Wood T OT ShUtS °ff the ingreSS °r 6Sress of the retinal blood-supply seems at once to solve the problems. One of these facts is pulsation in the veins upon the nerve head or p ip, Where else in the whde Jy *s^e a should ^have The fact ltself is an abnormalism, and Double r86 mStant SUSpiGi0D’ and a rtndy of its 2 o^ ^ was of course the beats of th 7™ 1 ^ °nlj find exit between the crowding-^6 7,7 Cr°wded a^amst the veins. But why morbid? And ^ n0t the diminished outflow itself And were there no resultant and secondary failures U)