Neuro-fibroma of the eyeball and its appendages / by E. Treacher Collins and Rayner D. Batten.

  • Collins, E. Treacher (Edward Treacher), 1862-1937
Date:
[1905]
Catalogue details

Licence: In copyright

Credit: Neuro-fibroma of the eyeball and its appendages / by E. Treacher Collins and Rayner D. Batten. 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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    terior pole of the globe were seen, with the naked eye, to be enlarged and present a plexiform appearance. Micro- scopical sections showed a marked increase of their peri- aiid endoneurium. In Mr. Rayner Batten's case the ciliary nerves in this position were much less markedly affected; they were, however, slightly enlarged and tortuous. It will be seen from the foregoing that all portions of the ciliary nerves supplying the eye may be affected by this congenital fibromatosis, and that in the uveal tract, as in the skin, associated with the neuro-fibromatosis there may be a general hyperplasia of the fibrous tissue of the part. The extent of the affection varies, however, in its distribution, sometimes being confined to one set of ciliary nerves, and the part supplied by them, and sometimes to another. In some cases only the terminal filaments and end organs of the nerves are involved, and in others the larofer trunks are also affected. Optic nerve.—The optic nerve besides the ciliary nerves is liable to a diffuse overgrowth of its fibrous-tissue elements. Many neoplasms of the optic nerve have been found, not to be localised tumours, but a general diffuse hyperplasia of the fibrous tissue. This hyperplasia may involve the iutercranial portion of the nerve as well as the orbital. The non-removal of the entire growth in some cases has not been followed by any ill results, showing that the neoplasm was not of a malignant character. In some tumours of the optic nerve the fibromatosis involves the ])ial sheath, or perineurium, the trabeculas extending from it into the nerve and the so-called neuroglia, or endoneurium; in others it has been confined to one of these divisions, or has affected one more extensively than another (5). Retina.—I know no condition of the retina to which the term neuro-fibromatosia would be applicable. So far as I know no case of fibromatosis of the optic nerve has been recorded which has been accompanied by a new growth in the retina. Mr. Bland-Sutton in his book on Tumours says that ever since he became acquainted with
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