Amblyopia from the abuse of tobacco and alcohol : a clinical paper based upon cases in the practice of C. R. Agnew and David Webster / by David Webster.

  • Webster, David, 1842-1923
Date:
[1880]
Catalogue details

Licence: Public Domain Mark

Credit: Amblyopia from the abuse of tobacco and alcohol : a clinical paper based upon cases in the practice of C. R. Agnew and David Webster / by David Webster. 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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    July 24:th.—The dose of strych. nitrat. has been gradually increased to gr. -jV- Has had pain in fore- head for three or four days. Vision |^ each eye. July 27th.—Strych. nitrat., gr. ^, produces *' leg symptoms. August 11th.—Vision ffr each eye. August 22d.—Vision |n each eye. Is taking a daily injection of strych. nitrat., gr. |-. September 25th.—^Vision §77 each eye, with +7-2. Case XVII.—J. M , aged thirty-eight years ; watchman; bachelor; came under observation March 28, 1879. In the beginning of the winter got a pair of shoes that were a size too small for him, and he thinks wearing them affected his eyes. Three or four weeks after he commenced to wear them he first noticed, while reading a newspaper, that his sight was fail- ing, and it has gradually grown worse ever since. He has smoked both pipe and cigars since he was fifteen years old. Smokes at least half a paper of tobacco daily, and drinks a glass of ale every day, and often whiskey. Had chills and fever five years ago. Not subject to headache. Never had venereal disease, but has been addicted to masturbation since the age of seventeen. Urine and heart examined by experts, and found to be normal. Vision each eye, and no improvement with glasses. Visual fields not contracted. Tension nor- mal in both eyes. Ophthalmoscopic examination: The nasal half of each optic disk is too red, the temporal half too pale. ' There is visible pulsation of both the retinal veins and arteries, extending to a comparatively long distance from the disks, and in some of the larger branches it can be traced as far as the equator of the globe. In the veins the pulsation is of the usual character, except in its intensity, and the extraordi- nary distance to which it can be traced from the disks. The arteries, however, seem to start up, and move as a whole with each impulse of the heart, without apparent change of calibre. As the arteries start forward, the veins contract; and as the veins fill
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