Journal of ophthalmology, otology and laryngology . lpebral conjunctiva of the right eye was red, swollenand chemosed. The pupil was partially dilated with but little reac-tion, atropia sulph. having been used. The ophthalmoscope showeda clear media, both aqueous and vitreous, but there was a white lineof choroidal involvement, extending upward from the lower outerfundus, ending in a hsemorrhagic spot, as if a shot had penetrated thelower outer eyeball and had plowed its way along the fundus, leaving *Read at meeting of Amer. O., O. and L. Soc, Rochester, N. Y., June 20, IQI7- 689 James A. Cam
Journal of ophthalmology, otology and laryngology . lpebral conjunctiva of the right eye was red, swollenand chemosed. The pupil was partially dilated with but little reac-tion, atropia sulph. having been used. The ophthalmoscope showeda clear media, both aqueous and vitreous, but there was a white lineof choroidal involvement, extending upward from the lower outerfundus, ending in a hsemorrhagic spot, as if a shot had penetrated thelower outer eyeball and had plowed its way along the fundus, leaving *Read at meeting of Amer. O., O. and L. Soc, Rochester, N. Y., June 20, IQI7- 689 James A. Campbell. a white line of sclera showing, and then perforating the eyeball atthe hemorrhagic spot, passing backward into the orbital cavity, achorio-retinitis line of inflammation following. The left eyelids and conjunctiva were violently red and lower inner eyelid had been perforated by a shot, which hadpassed into and probably through the eyeball, entering the ball about3 mm. below and to the inner side of the sclero-corneal margin. The. Fig. i. lid was united to the eyeball, at the point of injury, by inflammatoryadhesions, which I separated. The anterior chamber was full ofhemorrhagic effusion. There was pain in the eyes and head. His temperature was ioo°. Four or five X-ray pictures were made of the head, three ofwhich are here submitted, from the right side, left side and a frontalview. The true extent of the injury was here clearly seen. The whole 690 Perforating Gunshot Wounds of the Eye. face, head and neck, as well as the eyes, were loaded with forty shot were easily counted, seven in the neck, an amplesupply to the nose, face, jaws and forehead, as well as four shotwhich could be made out in the brain itself and eight in upper leftchest. This latter was well shown in a stereoscopic X-ray picture,which is probably the most satisfying and positive method of intra-cranial localization.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectophthalmology, bookye
