Transactions . Case 4. Visual field four days after obstructionof central artery of retina: paracentral with Fig. 5. Summary.— Briefly summarized, the conditions in Case 4may be stated as follows: No apparent arterio-sclerosis, or notmore than is usual at the age of life of this patient; general con-dition extremely good, with the exception of a faint apex, systolic,cardiac murmur, and a trace of albumin in the urine; suddenloss of the vision of the right eye after one short period ofblurred sight on the day preceding its occurrence. ExaminationOph.—3 488 ScHWEiNiTZ & HoLLOWAY
Transactions . Case 4. Visual field four days after obstructionof central artery of retina: paracentral with Fig. 5. Summary.— Briefly summarized, the conditions in Case 4may be stated as follows: No apparent arterio-sclerosis, or notmore than is usual at the age of life of this patient; general con-dition extremely good, with the exception of a faint apex, systolic,cardiac murmur, and a trace of albumin in the urine; suddenloss of the vision of the right eye after one short period ofblurred sight on the day preceding its occurrence. ExaminationOph.—3 488 ScHWEiNiTZ & HoLLOWAY : Obstruction of Retinal Artery. thirty minutes after the onset of the bhndness demonstratedprobable faint Hght perception and complete obhteration of theentire arterial tree, all branches being emptied of blood, togetherwith shrinking of all veins, except the lower temporal vein, whichwas distended wuth dark blood, and the two veins above thedisc in which the blood current was reversed, and the columns. Fig. 7. Case 4. Visual field one year after obstruction ofcentral artery of retina; vision 6/9. broken by bubble-like interspaces; no edema of the retina, andno formation of cherry spot in the macula; complete restorationof the blood currents in the previously emptied vessels after tenminutes of deep massage of the eye, except in one artery whichpassed directly upward between the two branches of the uppertemporal vein, and in one vessel which passed directly outwardtoward the macula; three hours later even more perfect restora-tion of the blood currents than has just been described, except inthe upper vessel already named; normal extent of the visual ScHWEiNiTZ & Holloway: Obstnictioi! of Retinal Artery. 489 field upward but decided contraction below, together with twowedge-shaped scotomas, both paracentral, one directly downwardand the other one upward and outward from the blind spot, thelatter occupying a position similar to the area of preserved visionwhich is not infreq
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectophthalmology, bookye
