A practical treatise on the diseases of the eye / by William Mackenzie ; to which is prefixed an anatomical introduction explanatory of a horizontal section of the human eyeball by Thomas Wharton Jones.

Date:
1840
Catalogue details

Licence: Public Domain Mark

Credit: A practical treatise on the diseases of the eye / by William Mackenzie ; to which is prefixed an anatomical introduction explanatory of a horizontal section of the human eyeball by Thomas Wharton Jones. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    I ] ^.symptom went on increasing:, and the right temple became dilated, and elevated, I'by some cause residing within the orbit. The swelling in the temple was very bpainful to the touch, or when he had the part shaved. For a long time he suffered ^severely from headach, the pain commencing after the loss of sight, and about the |li:ime when the exophthalmos was first observed. About 18 months before death, ilthe right eyeball was so much protruded that it burst, and was destroyed. About il'!:hree years before death, he was attacked frequently, during six or eight months, pnAith profuse epistaxis. At last he died dropsical. I At one period of his life, this patient snuffed a great deal, but he dropped that, i’lnd had recourse to smoking and chewing. He knew no cause of his disease ; * le* could trace it to no fall or blow on the head. Indeed, previously to the ij'ijtutfing of his nostrils, which was the first symptom, he bad always been healthy, I except that he was occasionally troubled with tremors, or rigors, for a few days ^ at a time. He was not liable to headach before his sense of smell began to fail. 1‘: He never had any fits, faintings, or paralytic symptoms. ^ Tlie pain of his head was greatly relieved by the internal use of laudanum, (i From the state of complete deafness and blindness in which he was for some I years before his death, it was difficult to know how far his memory or judgment was affected. On inspection, the brain was found to be in no respect materially diseased. I' The pituitary gland was sound, and the cerebral surface of the dura mater was I ?ntire. Under the dura mater, between it and the basis of the skull, and especially | -oehind the sella Turcica, there was an extensive fungous tumour, of a dark-red i ;olour, soft and brainy in consistence. This tumour originated from the cranial '.lurfaccof the dura mater. It spread across to each temporal bone, which were in - t state of caries. It dipped into the nostrils and filled both orbits, their roof and i posterior parts being removed by absorption, as was also the cribriform plate of he ethmoid bone, and the outer wall of the right orbit. The tumour, where it : illed the right orbit and protruded into the temple, was unlike the rest, being ) 'irm and whitish, like cartilage. This portion could not be distinctly separated ! rom the rest of the diseased mass, but it seemed probable, that this portion was ■ he lacrymal gland, enlarged and changed in structure. The optic nerves, between ^ heir ehiasma and the orbits, were pale, and flat like ribbons. t' i I t 1 ! 4 1 Medical Transactions; Vol. ii. p. 353; London, 1772. 2 Hunter on the Blood, Inflammation, and Gunshot Wounds; Vol. ii. p. 307; l.ondon, 1812. 3 Ibid. p. 287; London, 1812. * See a case by Vater, in the_Philosophical Transactions; Vol. xxxiii. p. 147; jondon, 1726. ® Kunge de Morbis Sinuum Ossis Frontis ct Maxillae Superioris; in Haller’s lisputationes Chirurgicae; Tom. i. p. 212 ; Lausannae, 1755. ® Novi Commentarii Societatis Ilegiae Gottingensis; Tom. iii. p. 85; Gottingac, 173. See a case by Dr Tott, in Griife und Walther’s Journal der Chirurgie und ^ugcnheilkunde ; Vol. xi. p. 662; Berlin, 1828. ® Lehre von den Augenkrankheiten ; Vol. ii. p. 570 ; Wien, 1817. ° Neue Bibliothek fiir die Chirurgie und Ophthalmologic; Vol. ii. p. 365; lannover, 1820. Ibid. p. 245. The reader will find an interesting case of hydatids between he tables of the frontal bone, related by Mr Keate, in the Medico-Chirurgical 'ransactions ; Vol. x. p. 278; London, 1819. Levret, Observations sur la Cure de plusicurs Polypes, p. 235 ; Paris, 1749. On the diseases of the maxillary sinus, consult Bordenave, in the Memoires e 1’Academic Royale de Chirurgie ; Vols. xii. and xiii. 12mo ; Paris, 1774. Lettre Chirurgicale sur quelques Maladies Graves du Sinus Maxillaire ct de Os Maxillaire Inferieur; p. 50 ; Paris, 1833. Boyer, Traite des Maladies Chirurgicales ; Tome vi, p. I40 ; Paris, 1818. Ibid. Tome vi. p. 153. G