Three cases of sympathetic ophthalmitis setting in three weeks after excision of the other eye : with abstracts of cases already published / by Edward Nettleship.

Edward Nettleship

Date:: 1881

Credit: Three cases of sympathetic ophthalmitis setting in three weeks after excision of the other eye : with abstracts of cases already published / by Edward Nettleship. 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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$•with increased tension set in, and passed after several remis- sions into a decidedly glaucomatous state, for which iridec- tomy was performed with complete success. The refraction of tlie eye altered repeatedly during the course of the disease,* Remarks.—In Nagel’s abstract it is not stated how long the left had been blind before excision. Case V. A man, get. 35, admitted July 1874, one day after per- forating wound of centre of right cornea and lens. Purulent kerato-iritis, followed by swelling of orbital connective tissue and persistent pain ; excision six weeks after accident. ‘A few days’ after excision localised pale conjunctival cedema at inner part of left eye, with sight down to 15 Snellen at 100 feet but no ophthalmoscopic changes. Four days later (September 15), neuro-retinitis, yellow- spot region being especially affected, with contraction of visual field, especially at upper and out-'r part. Vigorous antiphlogistic and mercurial treatment. In six weeks visual field larger, optic disc still hazy. Some superficial choroidal changes (perhaps caused by the swelling of the retina E. N.). In two months, sight 15 Snellen at 50 feet QA). In six months no contraction of visual field; sight nearly normal, reads 1 Jaeger. Two years after onset of attack the eye re- mained well, f Case VI. Excision for sclero-corneal wound, not a trace of sympa- thetic mischief having been present. Patient discharged ap- parently well. Two months later complained of photopsige, without defect of vision. Six months later neuro-retinitis, with general haze of retina, and sight down to 19 Jaeger. Final condition unknown. J Remarks.—This case is so incomplete, and the interval between excision and observation of visible changes in the eye so long (about six months), that we must receive it with much caution. Even the interval between excision and the onset of the earliest subjective symptoms (about two months) is greater than in any other known case. * Hugo Muller, Inaugural Diss., 1873, quoted in Nagel's Jahrcshericht, 1873, p. 316. f Colsmann, Berlin. Klin. Wochenschr. 1877, No. 12. { Mooren narrated this case, previously unpublished, to Colsmann, who gives it with his own case, l. c. 1877.$