. Annual and analytical cyclopedia of practical medicine; . egoing, attention to theunderlying neurosis, and, coincidently,treatment of the associated gastric affec-tion. In cases associated with hyper-chlorhydria and with hypersecretion, thelocal employment of silver, alumnol, andof bismuth, as detailed in the treatmentof ulcer and of simple hyperchlorhydria,has been of extreme value in the writershands. The case mentioned was curedby this means. U. D. Stewart, Philadelphia. 31 tl STRABISMUS. SYMPTOMS. ETIOLOGY, STRABISMUS. —From the Greekbr^ja^ihiKK. to squint. Synonyms.—Squint; heterotropia


. Annual and analytical cyclopedia of practical medicine; . egoing, attention to theunderlying neurosis, and, coincidently,treatment of the associated gastric affec-tion. In cases associated with hyper-chlorhydria and with hypersecretion, thelocal employment of silver, alumnol, andof bismuth, as detailed in the treatmentof ulcer and of simple hyperchlorhydria,has been of extreme value in the writershands. The case mentioned was curedby this means. U. D. Stewart, Philadelphia. 31 tl STRABISMUS. SYMPTOMS. ETIOLOGY, STRABISMUS. —From the Greekbr^ja^ihiKK. to squint. Synonyms.—Squint; heterotropia. Definition.—The condition in whichboth eves do not look toward the samepoint: but when one eye fixes a certainpoint the other is turned elsewhere. Symptoms.—The false position of theeye that is not turned toward the objectlooked at is usually noticed on casualinspection, and constitutes a very dis-agreeable deformity. This eye is calledthe deviating eye. The one which is nor-mally directed is the fixing eye. Thesymptom of deformity may, Strabismus. (Edvxird Jackson.) prove misleading. The direction an eyeis looking is judged by the direction thecornea is turned. In some eyes thevisual axis pierces the cornea so far fromits centre that the eye appears to deviatewhen in reality it is properly directed;and such an eye might really deviatewhen it appeared straight. The lack of correspondence betweenthe eyes prevents true binocular vision,if that function has already been de-veloped; or prevents its the patient has previously possessednormal binocular vi?ion the deviation causes diplopia or double vision. Thisdiplopia is distinguished from monoculardiplopia by the fact that the covering ofeither eye removes it. The image seen by the fixing eye iscalled the true image, it being referredto the true position of the object. Theimage seen by the deviating eye is calledthe false image, it being referred, inthe consciousness of the patient, to adirection


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