The ophthalmoscope and lues / by Ole B. Bull.

  • Ole Bornemann Bull
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: The ophthalmoscope and lues / by Ole B. Bull. 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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    tion of this membrane is obvious1). Such a connexion I have several times seen, but mostly it has not been so conspicuous as to be evident at the first glance. It was clearly visible in the case portrayed in Fig. 9, Plate V ; — taken from a woman who, in May 1869, was treated for constitutional sy- philis at the Hospital for Chronic Diseases (L.-No. 161); and during her stay at the hospital suffered from a severe eye- inflammation. (The drawing was taken two years later). The origin of the disease from a retinal affection may also be apparent in cases, where isolated atrophies of the pigment are confined to a single part of the fundus; or, where the pig- ment is destroyed over a single large area. In such cases, we may occasionally find that the place to which the spots are confined, has a sectorlike form, having its apex turned towards, or touching the optic disc, and its base towards the periphery. Such may also be the form of the area over which the pigment is destroyed. Hutchinson records such a case, in which the disease was of hereditary origin2); and Nett- leship mentions a similar case3). The sectorlike arrangment of the spots was clearly visible in the case reported below. 20. Mr. C. L. S. infected in the spring, 68. In September of the same year he suddenly found that his sight had failed in the left eye, and some time afterwards, black dots appeared before the right eye. A physician performed an iridectomia on the left eye, subsequently to which the sight became still more deteriorated. Examined May 12th, '77. Right eye V \} left, complete amaurosis. Ophthalmoscop. r. eye, two sec- torlike tracts visible iu the lower part of the fundus; towards the equator the limits of the tracts could not be seen; towards the optic disc, one of the tracts extends its apex up to the disc, the other goes not so far towards the centre. Vena *) The same has, in respect of non-syphilitic choroiditis, long ago been de- monstrated by Foerster and Nagel. Beyond Foerster, Fetzer 1. c. p. 19 and Kortum: Archiv fur Augen- und Ohrenheilkunde* Bd. Ill, Abt. I, p. 55 have in the syphilitic choroiditis, seen spots developed in places corre- sponding to those in which scotomata in the visual field have been found. In the case observed by Kortum, a real exudation of lymph-patches, (schneeweisse Heerde), was first observed in the places in which, later, isolated atrophies appeared. 2) Vide Ophthalmic. Hosp. Rep. Vol. VII, p. 494, drawing. 3) Cases in Ophthalmia. Practice with notes and Observations. St. Thomas Hosp. Rep. 1878.
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