History of a case of removal of a retrobulbar lymphosarcoma with preservation of normal vision / by Charles A. Oliver.

  • Oliver, Charles A. (Charles Augustus), 1853-1911.
Date:
[1900]
Catalogue details

Licence: In copyright

Credit: History of a case of removal of a retrobulbar lymphosarcoma with preservation of normal vision / by Charles A. Oliver. 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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    r4« f/ U r Bprinted from The Philadelphia Mkoical Journal, NoTember 24,1900.] (3 HISTORY OF A CASE OF REMOVAL OF A RETRO- BULBAR LYMPHOSARCOMA WITH PRESERVA- TION OF NORMAL VISION.^ By CHARLES A. OLIVER, A.M., M.D., of Philadelphia. Attending Surgeon to Wills' Eye H)spital; Ophthalmic Surgeon to the Phila- delphia Hospital, Philadelphia. On January 11, 1899, F. K , a weaver, 57.years old, applied at my clinical service at Wills' Hospital. He gave the fol- lowing history : He was born in Germany. His health was good until 21 years of age. At that time a swelling termed a goiter by some government surgeons slowly developed in his neck. The enlargement became so great in size that he was rejected from military service It was unaccom- panied by exophthalmos, tachycardia, or any vasomotor symptoms, and gradually disappeared iu about 16 years. He had a chancre on the glans penis 26 yenrs before I saw him. This lasted some five or six weeks, and was repeatedly caute ized, but was not followed by any glandular enlargements, skin-eruptions, or alopecia. Six years after this he began to complain of occasional diplopia Many years ago, possibly about 20, he went to Wills' Hos- pital for glasses, though he does not remember the exact date of the visit nor the name of the attending surgeon. In 18S7 his eyes were examined hy Dr. A. G. Heyl at the Hospital of the Protestant Episcopal Church in Philadel- phia. Dr. Heyl informed him thata small vessel which would eventually give him trouble was developing in his right eye. He again sought advice at Wills' Hospital 12 years later and became a patient of Dr S. D Risley. Study of the notes of the case in Dr. Risley's records shows that vision in each eye was brought to practically normal by a convex sphero- cylinder len placed before the right eye and a convex spher- ical lens before the left one. At that time he complained of an intense pain in the right side of the head and in the right eye This, he said, dated back for. some three weeks, and had been produced by catching cold. At that time tension in each eye was normal. The right eye was con- gested. Its cornea was sensitive, and its iris responded to 'Read before the American Ophthalmological Society at the Fifth Triennial Meeting of the Association of American Physicians and Surgeons, May, 1900.