Unilateral albuminuric retinitis : with report of a case / by Walter L. Lyle.

  • Walter L. Pyle
Date:
[1898]
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Licence: Public Domain Mark

Credit: Unilateral albuminuric retinitis : with report of a case / by Walter L. Lyle. 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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    [Reprinted from Thk Philadklphia Medical Journal, November 19,1898.J UNILATERAL ALBUMINURIC RETINITIS; WITH REPORT OF A CASE. By WALTER L. PYLE, A.M., M.D., . of Philadelphia. Assistant Surgeon to Wills Eye Hospital. In cases of albuminuric retinitis the lesion is usually bilateral; some authors say that it is invariably so. It must be remembered, however, that the reports of such cases are from oculists, who generally see the patients in the advanced stages of the disease, when it would be natural to find bilateral involvement. A review of the literature of this subject shows that the unilateral cases are not so rare as the textbooks imply. In fact, there is strong reason to believe that many one-sided cases have not been reported as such, the inference being that the unaffected eye would soon follow, and the case has been dismissed with no other comment than a hopeless prognosis. I have spoken to a number of my friends about this anomaly, and several have told me that they had seen the unilateral affection, but none could say whether the other eye remained healthy, although one gentleman assured me that in one instance the patient was living several years after he had seen the affected eye. None of these cases had been deemed worthy of further observation and report. Knies\ who has made an exhaustive study of this subject, says that unilateral albuminuric retinitis is not uncommon. In his analysis of 103 cases, C, S. BulP remarks that there were 10 cases of unilateral affection that remained so until the end of the patients' lives. Unfortunately, in none of these cases are there au-